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几个地方有疑问?

发布于 2022-06-05 · 浏览 6837 · IP 江苏江苏
这个帖子发布于 2 年零 338 天前,其中的信息可能已发生改变或有所发展。

Resistance to change, I believe, is partly explained by certain innate perceptual limitations. An example is the 22% relative mortality reduction found in the ARDSNet low VT study.39 This finding projected a “number to treat” whereby for every 11 ARDS patients treated with a 6 mL/kg VT one additional life is saved. Hence, the reality that injurious ventilation increased mortality was too subtle to be perceived in clinical practice. The legacy of our ~200,000-year-old nervous system was its primary orientation towards interpreting “real time” phenomena that promoted our survival in a radically different environment.Therefore, our ability to fully comprehend complex phenomena such as ARDS mortality can only be discovered by the latent potential our nervous system afforded us: the capacity for highly abstract thought and computational skills. However, the complex reality of ARDS is too often obscured by the potency and immediacy of our impressions formed in an emotional charged environment that is the ICU. And this brings us to the threshold of “whither goest thou?”

 我认为,对变革的抵制在一定程度上是由某些与生俱来的知觉局限造成的。例如,ARDSNet低VT研究发现相对死亡率降低22%。该结果预测了一个 “需治疗人数”,即每11名ARDS患者接受6ml/Kg体重的VT治疗,就能多挽救一人。因此,损伤性通气增加死亡率过于微妙,在临床实践中无法察觉。经过20万年的进化,我们的神经系统主要功能是解释“实时”现象,这些“实时”现象促进我们在一个完全不同的环境中生存。因此,我们完全理解复杂现象(如ARDS死亡率)的能力只能通过我们的神经系统赋予我们的潜力(高度抽象的思维能力和计算能力)来发现。然而,ICU这个充满情感的环境中印象的有效性和即时性往往会掩盖ARDS的复杂现实。这就把我们带到了“汝欲何往?”的境地。

legacy 怎么理解? that 修饰的是legacy还是“real time” phenomena ?

the capacity for highly abstract thought and computational skills.ability 还是latent potential?

最后编辑于 2022-10-09 · 浏览 6837

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