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Human motivation is organized hierarchically, from proximal (means) to ultimate (ends).
Behav Brain Sci
January 2025
Département d'études cognitives, Institut Jean Nicod, Ecole normale supérieure, Université PSL, EHESS, CNRS, Paris,
Murayama and Jach raise a key problem in behavioral sciences, to which we suggest evolutionary science can provide a solution. We emphasize the role of adaptive mechanisms in shaping behavior and argue for the integration of hierarchical theories of goal-directed cognition and behavioral flexibility, in order to unravel the motivations behind actions that, in themselves, seem disconnected from adaptive goals.
View Article and Find Full Text PDFHeart in Focus: Advancing Pericardial Effusion Diagnosis With Point-of-Care Ultrasound.
Cureus
December 2024
Emergency, Hospital de Braga, Braga, PRT.
Pericardial effusion refers to the accumulation of fluid within the pericardial sac, the double-layered membrane surrounding the heart. It can be caused by various medical conditions and may lead to serious complications if not diagnosed and managed promptly. Point-of-care ultrasound (POCUS) has emerged as a valuable tool in the clinical evaluation of pericardial effusions, offering real-time visualization and aiding in the assessment of its size, characteristics, and potential hemodynamic impact.
View Article and Find Full Text PDFPrevalence of MRI lesions in men responding to a GP-led invitation for a prostate health check: a prospective cohort study.
BMJ Oncol
August 2023
Urology, University College London Hospitals NHS Foundation Trust, London, UK.
Objective: In men with a raised prostate-specific antigen (PSA), MRI increases the detection of clinically significant cancer and reduces overdiagnosis, with fewer biopsies. MRI as a screening tool has not been assessed independently of PSA in a formal screening study. We report a systematic community-based assessment of the prevalence of prostate MRI lesions in an age-selected population.
View Article and Find Full Text PDFPeripheral Nerve Stimulation for Chronic Neuropathic Pain: A Health Technology Assessment.
Ont Health Technol Assess Ser
January 2025
Background: Chronic neuropathic pain is a major health problem that adversely affects people's physical and mental well-being, as well as their quality of life. Percutaneous peripheral nerve stimulation (PNS) may offer a minimally invasive option earlier in the treatment continuum for adults with chronic neuropathic pain that is refractory to conventional medical management. We conducted a health technology assessment of PNS for adults with chronic neuropathic pain, which included an evaluation of effectiveness, safety, cost-effectiveness, the budget impact of publicly funding PNS, and patient preferences and values.
View Article and Find Full Text PDF[Factors associated with the acceptability of mobile digital payments among health workers in the Koumpentoum Health District Senegal in 2023].
Pan Afr Med J
January 2025
Institut de la Santé et du Développement, Université Cheikh Anta DIOP de Dakar, Dakar, Sénégal.
Introduction: digitising health worker payments could improve their well-being, that of users of health service points and the performance of the health system. The purpose of this study was to identify factors associated with the acceptability of mobile payments among health workers in the Koumpentoum health district.
Methods: we conducted a cross-sectional, descriptive and analytical study in the Koumpentoum health district, in eastern Senegal, in January 2023.
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