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Started by Qvadratus, September 02, 2005, 04:45:10 PM

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Qvadratus

Cred ca trebuie sa clarific ceva!

Am facut de la inceput lobby pentru dezvoltarea sectiunii de "Medicale" (recte, "Sunt medic da' ma tratez"), in speranta de a stabili un cadru real de discutii ale unor probleme practice si, de a incuraja comunicarea in domeniu. O viza asadar cu bataie mai lunga.

Am sperat (si sper in continuare), ca in discutiile care au avut loc sau vor avea loc aici sa iasa in evidenta in primul rind profesionalismul si interesul centrat pe probleme care in general reprezinta schepsisuri ale practicii medicale de zi cu zi. Genul asta de schepsisuri le afli mai greu si in general dupa ani de practica, astfel ca aceste discutii pot fi un mijloc relativ mai la indemina pentru aflarea unor astfel de amanunte.
Deocamdata la aceasta sectiune contribuim destul de putini. Sper ca in timp rata de participare sa creasca. In concluzie poate pe aici pe colo se mai forteaza nota introducindu-se in discutie modele de situatie considerate importante sub raportul tipologiei. Daca au fost introduse in discutie nu insemna neaparat ca respectivii initiatori se confrunta cu problema in discutie sau ca ea are obligatoriu un corespondent in timp real.

Una din ideile (ce-i drept cam naive) care le am, este ca in Romania comunicarea pe probleme mai sensibile este extrem de redusa si, prin discutiile de aici sper sa ofer un exemplu cum ca totusi anumite lucruri pot fi puse in discutie pentru a le gasi o rezolvare optima, sau pentru a le preveni. E o modalitate mai neortodoxa de a tine un "congres" virtual sau de a face un "brainstorming", dar este o modalitate si o posibilitate la indemina oricui, fie ca este medic la Cucuietii din Deal, fie ca este in Europa de Vest sau oriunde in alta parte. Asta e mesajul pe care il promovez.

Qvadratus

P.S. Zilele astea cineva mi-a transmis un PM sugerind niste solutii utile intr-una dintre problemele expuse de mine. Efortul facut este extrem de laudabil iar solutiile expuse sunt chiar valoroase (zic eu). De dragul acestei valori as dori ca persoana respectiva sa posteze acele solutii in asa fel incit sa le poata utiliza si altii, in masura in care vor fi capabili sa conceptualizeze si sa puna in practica acele solutii.

P.P.S.Ca regula generala sugerez ca daca va propuneti sa infatisati niste cazuri personale, in caz ca nu sunt cazuri la care aveti nevoie de un sfat sau de o mina de ajutor, sa lasati sa se scurga un timp suficient de indelungat intre momentul in care ati fost implicati in acele situatii si momentul in care le expuneti.
Daca auziti de cazuri mai deosebite care au avut o rezolvare particulara, incercati sa le infatisati pentru a se discuta pe marginea lor. Fiti totusi constienti ca anumite date (chiar importante), care pot implica persoane relativ usor identificabile trebuiesc periate cu grija.

Qvadratus

Deocamdata avem printre noi doar citiva dispusi sa impartaseasca constant din experienta palierului de care se ocupa: un internist (Cerbul), o psihiatra (Doina), o stomatoloaga (Rocsa), un cercetator (Furnika) si probabil intr-o oarecare masura si eu. Sper ca acest grup in primul rind sa nu piarda pe drum pe vreunul si in al doilea rind sa se imbogateasca numeric.

originaltup

eu as mai scrie, dar nu prea am timp pentru mesaje atat de lungi incat sa fie cat de cat comparabile cu cele scrise de tine  :lol:
"There is a big difference between knowing the path, and walking the path"

Qvadratus

Nici nu e nevoie, sa scrii mult. Eu sunt mai degraba un exemplu negativ (de genul "Asa nu!"). E mai bine sa scrii putin si la obiect, decit mult si cu divagatii.

Furnika

Io-te ce am gasit:
http://www.nature.com/news/2007/070618/full/070618-14.html
Recunosc frustrarea, sunt al doilea nascut. :(

tapirsis

Da' Nevasta, ca-i a cincea  ???
Va fi bine!

tapirul

si olimpica pe tara la Romana?...
cre'că, nu ştiu...

vlad

Io nu văz articolu, îmi cere bani, şi chiar n-am, nene, nici un pol, tre să merg la o tonă de nunţi şi nici bani de ceai de coji de cartofi nu mai am. Puteţi povesti?

Furnika

published online: 21 June 2007; | doi:10.1038/news070618-14
Older siblings are smarter
Social standing within a family affects average intelligence scores.

Katharine Sanderson


Top of the class: first-borns are, on average, 2.3 IQ points more intelligent than their younger brothers and sisters.
Corbis
Eldest sibblings are, on average, 2.3 IQ points more intelligent than their younger brothers and sisters, says a study of Norweigan kids. And it's not necessarily being born first that makes the difference — it's being raised as the eldest child.

It has been proposed for some time that, on average across a population, first-borns are more intelligent than their younger brethren. There are more first-born sons in prominent positions than might be expected, for example. And some studies have shown a link between birth order and intelligence: the later born, the less smart the child.

But the reasons behind this trend, and even whether it's real, have been hotly debated. Families with low-intelligence children tend to be large (perhaps a big brood leaves little time for helping with homework), so the observation that sixth-born children aren't very smart, for example, could just be a side effect of this, critics have said.

Petter Kristensen, from the University of Oslo, and Tor Bjerkedal from the Norwegian Armed Forces Medical Services in Oslo looked at data gathered from 241,310 Norwegian kids, all aged 18 or 19 years old at the time of intelligence testing.

The mean IQ of first-born kids was just over 103, second-borns just over 100, and third-borns about 99, they found. But if a child's elder sibling had died, leaving him or her to be raised as first-born, their IQ lept up to match the top scores of 103. Likewise if both of two elder siblings had passed away, these third-born children had IQs matching that of first-borns, they report in Science1.

And it isn't just that big families have less smart kids, and small families have bright ones. In a separate analysis, to be published in Intelligence, the researchers show that the trend holds true for distinct pairs of siblings in their study group — even within single families, older siblings are on average smarter. "There can be no confounds in this type of study, and so the theory of spurious associations has effectively been refuted in one fell swoop," says Frank Sulloway, an expert on birth order and intelligence from the University of California, Berkeley.

Older and wiser

What causes the difference? The fact that it's down to social upbringing rather than biological birth order leads Kristensen to think it's because of factors such as parental attention to older siblings, or time that the elders spend tutoring younger sisters and brothers.


Translational Approaches to Cardiovascular Research
Kristensen, a second-born child himself, admits that he did not believe the effect was real at first. "It was intuitively wrong to me that an eldest child should have an advantage," he says, especially since studies have shown that second- and third-born children often have better health than first-born kids.

The work doesn't necessarily show that younger siblings suffer from their lower IQ, Sulloway adds. "There is considerable evidence that first-borns and later-borns are good at different things," he says, citing Charles Darwin as an example. Darwin was the fifth of six children, and didn't fare very well in some of his classes at Cambridge. But Darwin was, famously, described by his uncle Josiah Wedgewood as being a man with "enlarged curiosity". "If offered the choice of having 2.3 more IQ points or Darwin's fortunate attribute of 'enlarged curiosity', I would unhesitatingly prefer the latter," says Sulloway.

Katharine Sanderson is a reporter for Nature in London, and is the second-born of two sisters.

vlad