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Hierarchical dynamics of informational patterns and decision-making.

ABSTRACT: Traditional studies on the interaction of cognitive functions in healthy and disordered brains have used the analyses of the connectivity of several specialized brain networks-the functional connectome. However, emerging evidence suggests that both brain networks and functional spontaneous brain-wide network communication are intrinsically dynamic. In the light of studies investigating the cooperation between different cognitive functions, we consider here the dynamics of hierarchical networks in cognitive space. We show, using an example of behavioural decision-making based on sequential episodic memory, how the description of metastable pattern dynamics underlying basic cognitive processes helps to understand and predict complex processes like sequential episodic memory recall and competition among decision strategies. The mathematical images of the discussed phenomena in the phase space of the corresponding cognitive model are hierarchical heteroclinic networks. One of the most important features of such networks is the robustness of their dynamics. Different kinds of instabilities of these dynamics can be related to 'dynamical signatures' of creativity and different psychiatric disorders. The suggested approach can also be useful for the understanding of the dynamical processes that are the basis of consciousness.

SUBMITTER: Varona P

PROVIDER: S-EPMC4920316 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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Hierarchical dynamics of informational patterns and decision-making.

Varona Pablo P Rabinovich Mikhail I MI

Proceedings. Biological sciences 20160601 1832

Traditional studies on the interaction of cognitive functions in healthy and disordered brains have used the analyses of the connectivity of several specialized brain networks-the functional connectome. However, emerging evidence suggests that both brain networks and functional spontaneous brain-wide network communication are intrinsically dynamic. In the light of studies investigating the cooperation between different cognitive functions, we consider here the dynamics of hierarchical networks i ...[more]

PMID: 27252020

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Project description:BackgroundInformational discontinuity can have far reaching consequences like medical errors, increased re-hospitalization rates and adverse events among others. Thus the holy grail of seamless informational continuity in healthcare has been an enigma with some nations going the digital way. Digitization in healthcare in India is fast catching up. The current study explores the components of informational continuity, its impact on clinical decision-making and captures the general perception among the doctors towards a digital solution.MethodsCross-sectional study with snowball sampling. A survey questionnaire was developed and validated through a pilot study, then circulated through online platforms. Responses from doctors were obtained through an online Google form for a period of 3 months and analyzed using SPSS 20. The categorical variables were analyzed using Chi-square test.Results1413 responses were obtained through a national level survey. Respondents were from a wide range of work experiences, locations, sectors, specialties and patient load. Components of patient records like clinical notes, investigation reports, previous diagnosis and treatment details were rated to be very important. 41% reported about half and 20% reported about 3/4th of their patients do not bring relevant records. Patients from rural areas, visiting state government hospitals and visiting general practitioners were less likely to bring relevant records during consultations. The fallouts of not having timely relevant patient information of the patients include more time per patient, repeat investigations, difficulty to arrive at definitive diagnosis, difficulty to take further treatment decisions and impaired overall clinical decision making which were said to be significant by respondents across the spectrum. The benefits of having timely relevant patient information were also reported consistently across the spectrum. An overwhelming proportion (83%), from across the spectrum, unequivocally expressed their willingness to use digital platforms for accessing patients' relevant medical records.ConclusionPrevalence of informational discontinuity and its impact on clinical decision making is significant with definite benefits of having timely relevant medical history. There is strong willingness among the doctors to use digital solution(s) without any extra investment or effort on their part making customized solutions pertinent.

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Hierarchical dynamics of informational patterns and decision-making.

Publications

Hierarchical dynamics of informational patterns and decision-making.

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