Effects of butorphanol on the withdrawal reflex using threshold, suprathreshold and repeated subthreshold electrical stimuli in conscious horses

OBJECTIVE: To assess the effects of a single intravenous dose of butorphanol (0.1 mg kg(-1)) on the nociceptive withdrawal reflex (NWR) using threshold, suprathreshold and repeated subthreshold electrical stimuli in conscious horses. STUDY DESIGN: 'Unblinded', prospective experimental study. ANIMALS: Ten adult horses, five geldings and five mares, mean body mass 517 kg (range 487-569 kg). METHODS: The NWR was elicited using single transcutaneous electrical stimulation of the palmar digital nerve. Repeated stimulations were applied to evoke temporal summation. Surface electromyography was performed to record and quantify the responses of the common digital extensor muscle to stimulation and behavioural reactions were scored. Before butorphanol administration and at fixed time points up to 2 hours after injection, baseline threshold intensities for NWR and temporal summation were defined and single suprathreshold stimulations applied. Friedman repeated-measures analysis of variance on ranks and Wilcoxon signed-rank test were used with the Student-Newman-Keul's method applied post-hoc. The level of significance (alpha) was set at 0.05. RESULTS: Butorphanol did not modify either the thresholds for NWR and temporal summation or the reaction scores, but the difference between suprathreshold and threshold reflex amplitudes was reduced when single stimulation was applied. Upon repeated stimulation after butorphanol administration, a significant decrease in the relative amplitude was calculated for both the 30-80 and the 80-200 millisecond intervals after each stimulus, and for the whole post-stimulation interval in the right thoracic limb. In the left thoracic limb a decrease in the relative amplitude was found only in the 30-80 millisecond epoch. CONCLUSION: Butorphanol at 0.1 mg kg(-1) has no direct action on spinal Adelta nociceptive activity but may have some supraspinal effects that reduce the gain of the nociceptive system. CLINICAL RELEVANCE: Butorphanol has minimal effect on sharp immediate Adelta-mediated pain but may alter spinal processing and decrease the delayed sensations of pain.

Ultrasound measurements of the distance between acupuncture needle tip at P6 and the median nerve

BACKGROUND: Pericard 6 (P6) is one of the most frequently used acupuncture points, especially in preventing nausea and vomiting. At this point, the median nerve is located very superficially. OBJECTIVES: To investigate the distance between the needle tip and the median nerve during acupuncture at P6, we conducted a prospective observational ultrasound (US) imaging study. We tested the hypothesis that de qi (a sensation that is typical of acupuncture needling) is evoked when the needle comes into contact with the epineural tissue and thereby prevents nerve penetration. SETTINGS/LOCATION: The outpatient pain clinic of the Medical University of Vienna, Austria. SUBJECTS: Fifty (50) patients receiving acupuncture treatment including P6 bilaterally. INTERVENTIONS: Patients were examined at both forearms using US (a 10-MHz linear transducer) after insertion of the needle at P6. OUTCOME MEASURES: The distance between the needle tip and the median nerve, the number of nerve contacts and nerve penetrations, as well as the number of successfully elicited de qi sensations were recorded. RESULTS: Complete data could be obtained from 97 cases. The mean distance from the needle tip to the nerve was 1.8 mm (standard deviation 2.2; range 0-11.3). Nerve contacts were recorded in 52 cases, in 14 of which the nerve was penetrated by the needle. De qi was elicited in 85 cases. We found no association between the number of nerve contacts and de qi. The 1-week follow-up showed no complications or neurologic problems. CONCLUSIONS: This is the first investigation demonstrating the relationship between acupuncture needle placement and adjacent neural structures using US technology. The rate of median nerve penetrations by the acupuncture needle at P6 was surprisingly high, but these seemed to carry no risk of neurologic sequelae. De qi at P6 does not depend on median nerve contact, nor does it prevent median nerve penetration.

Patients' sensation during and after laserneedle versus metal needle treatment

OBJECTIVES: Aim of the study was to evaluate the patients' sensations during and after laserneedle versus metal needle acupuncture. STUDY DESIGN: The prospective study was performed at the gynaecological outpatient department of a University Teaching Hospital of Bern, Switzerland. Thirty female patients per group were included in the study and randomized into laserneedle or metal needle group. All women visited the acupuncture out patient department because of gynaecological disorders. Age of the patients in the metal needle group was 38 years in median (range 18-73 years); mean age was 41+/-13.3. Age in the laserneedle group was 36 years in median (range 16-60 years) and mean age was 39.1+/-12.2. Interventions were laserneedle acupuncture and metal needle acupuncture. Patients answered a questionnaire before, after the first treatment and prior to the second treatment. The questionnaires asked about the patients' knowledge of the various acupuncture methods and their health condition before treatment, their perception of pain, warmth, tiredness and relaxation during or after application of the needles or during or after the treatment. Statistics were performed by Graph Pad InStat 3 for windows. RESULTS: The common metal needle technique was well known by the patients in comparison to the laserneedle method (p<0.0001***). Laserneedle acupuncture is a method which is painless (p<0.0001***), energy inducing and relaxing (p=0.0257*) which leads to a warming sensation (p=0.0009***) during treatment. CONCLUSION: Both methods laserneedle and metal needle acupuncture are valuable methods in achieving relaxation and improvement of gynaecological symptoms. Laserneedle acupuncture is painless and easy to apply which is a valuable reason to support this technique in the future.

[The patent nasopalatine duct. A rare anomaly and diagnostic pitfall]

The patent nasopalatine duct is a rare anomaly in the anterior maxilla. During the early fetal period, a bilateral and epithelium-lined duct is formed within the primary palatal process as an oro-nasal communication. However, the duct obliterates and degenerates before birth. A persisting patent or through-and-through nasoplatine duct is therefore considered a developmental anomaly. A patent nasopalatine duct normally presents as one (or two) tiny openings lateral or posterior to the incisive papilla. In such a case, the ducts can be partially or completely probed with gutta-percha points with subsequent radiographic imaging. The patients report strange sensations such as squeaking noise, palatal drainage, nasal regurgitation, or airway communication between nasal and oral cavities; however, patients rarely complain about pain. About 40 cases have been documented in the literature. We describe two patients who have been referred to our department for evaluation of "sinus tracts" in the anterior palate. Since a patent nasopalatine duct can become a diagnostic pitfall, a thorough inspection of the mucosa around the incisive papilla is essential to avoid unnecessary endodontic or surgical interventions in the area of the central maxillary incisors.

Spatial audition in a static virtual environment : the role of auditory-visual interaction

The integration of the auditory modality in virtual reality environments is known to promote the sensations of immersion and presence. However it is also known from psychophysics studies that auditory-visual interaction obey to complex rules and that multisensory conflicts may disrupt the adhesion of the participant to the presented virtual scene. It is thus important to measure the accuracy of the auditory spatial cues reproduced by the auditory display and their consistency with the spatial visual cues. This study evaluates auditory localization performances under various unimodal and auditory-visual bimodal conditions in a virtual reality (VR) setup using a stereoscopic display and binaural reproduction over headphones in static conditions. The auditory localization performances observed in the present study are in line with those reported in real conditions, suggesting that VR gives rise to consistent auditory and visual spatial cues. These results validate the use of VR for future psychophysics experiments with auditory and visual stimuli. They also emphasize the importance of a spatially accurate auditory and visual rendering for VR setups.

Simulating Wind and Warmth in Virtual Reality: Conception, Realization and Evaluation for a CAVE Environment

Wind and warmth sensations proved to be able to enhance users' state of presence in Virtual Reality applications. Still, only few projects deal with their detailed effect on the user and general ways of implementing such stimuli. This work tries to fill this gap: After analyzing requirements for hardware and software concerning wind and warmth simulations, a hardware and also a software setup for the application in a CAVE environment is proposed. The setup is evaluated with regard to technical details and requirements, but also - in the form of a pilot study - in view of user experience and presence. Our setup proved to comply with the requirements and leads to satisfactory results. To our knowledge, the low cost simulation system (approx. 2200 Euro) presented here is one of the most extensive, most flexible and best evaluated systems for creating wind and warmth stimuli in CAVE-based VR applications.

Beyond words: Sensory properties of depressive thoughts

Verbal thoughts (such as negative cognitions) and sensory phenomena (such as visual mental imagery) are usually conceptualised as distinct mental experiences. The present study examined to what extent depressive thoughts are accompanied by sensory experiences and how this is associated with symptom severity, insight of illness and quality of life. A large sample of mildly to moderately depressed patients (N = 356) was recruited from multiple sources and asked about sensory properties of their depressive thoughts in an online study. Diagnostic status and symptom severity were established over a telephone interview with trained raters. Sensory properties of negative thoughts were reported by 56.5% of the sample (i.e., sensation in at least one sensory modality). The highest prevalence was seen for bodily (39.6%) followed by auditory (30.6%) and visual (27.2%) sensations. Patients reporting sensory properties of thoughts showed more severe psychopathological symptoms than those who did not. The degree of perceptuality was marginally associated with quality of life. The findings support the notion that depressive thoughts are not only verbal but commonly accompanied by sensory experiences. The perceptuality of depressive thoughts and the resulting sense of authenticity may contribute to the emotional impact and pervasiveness of such thoughts, making them difficult to dismiss for their holder.

Restoring tactile awareness through the rubber hand illusion in cervical spinal cord injury

BACKGROUND Bodily sensations are an important component of corporeal awareness. Spinal cord injury can leave affected body parts insentient and unmoving, leading to specific disturbances in the mental representation of one's own body and the sense of self. OBJECTIVE Here, we explored how illusions induced by multisensory stimulation influence immediate sensory signals and tactile awareness in patients with spinal cord injuries. METHODS The rubber hand illusion paradigm was applied to 2 patients with chronic and complete spinal cord injury of the sixth cervical spine, with severe somatosensory impairments in 2 of 5 fingers. RESULTS Both patients experienced a strong illusion of ownership of the rubber hand during synchronous, but not asynchronous, stroking. They also, spontaneously reported basic tactile sensations in their previously numb fingers. Tactile awareness from seeing the rubber hand was enhanced by progressively increasing the stimulation duration. CONCLUSIONS Multisensory illusions directly and specifically modulate the reemergence of sensory memories and enhance tactile sensation, despite (or as a result of) prior deafferentation. When sensory inputs are lost, and are later illusorily regained, the brain updates a coherent body image even several years after the body has become permanently unable to feel. This particular example of neural plasticity represents a significant opportunity to strengthen the sense of the self and the feelings of embodiment in patients with spinal cord injury.

Well-being and learning in school

Although there are various definitions for the term “well-being,” it is agreed that well-being in school represents a set of subjective feelings and attitudes toward school. Moreover, enjoyment (some use the term “happiness”) is recognized as a core element of well-being in general as well as at school. Well-being in school is defined as an indicator of the quality of scholastic life, and contributes to students’ physical and psychological health and development. As such it is strongly connected to learning. Well-being in school consists of cognitive, emotional, and physical components, i.e., a learner’s thoughts, feelings, and bodily sensations. Consequently, it differs significantly from an individual’s cognitive appraisals like satisfaction, or from discrete positive emotions like enjoyment. Well-being in school can be described through the relationship of positive and negative aspects of school life

Neural correlate of spatial presence in an arousing and noninteractive virtual reality: an EEG and psychophysiology study

Using electroencephalography (EEG), psychophysiology, and psychometric measures, this is the first study which investigated the neurophysiological underpinnings of spatial presence. Spatial presence is considered a sense of being physically situated within a spatial environment portrayed by a medium (e.g., television, virtual reality). Twelve healthy children and 11 healthy adolescents were watching different virtual roller coaster scenarios. During a control session, the roller coaster cab drove through a horizontal roundabout track. The following realistic roller coaster rides consisted of spectacular ups, downs, and loops. Low-resolution brain electromagnetic tomography (LORETA) and event-related desynchronization (ERD) were used to analyze the EEG data. As expected, we found that, compared to the control condition, experiencing a virtual roller coaster ride evoked in both groups strong SP experiences, increased electrodermal reactions, and activations in parietal brain areas known to be involved in spatial navigation. In addition, brain areas that receive homeostatic afferents from somatic and visceral sensations of the body were strongly activated. Most interesting, children (as compared to adolescents) reported higher spatial presence experiences and demonstrated a different frontal activation pattern. While adolescents showed increased activation in prefrontal areas known to be involved in the control of executive functions, children demonstrated a decreased activity in these brain regions. Interestingly, recent neuroanatomical and neurophysiological studies have shown that the frontal brain continues to develop to adult status well into adolescence. Thus, the result of our study implies that the increased spatial presence experience in children may result from the not fully developed control functions of the frontal cortex.

Perception of therapeutic Qi, a nonmechanical, nonpsychological factor in acupuncture that originates from the therapist

So far, most research attempts to explain the mechanism of the action of acupuncture have focused mostly on mechanically-triggered active factors and have produced inconclusive findings. In this study, we investigate whether acupuncture might also involve nonmechanical, nonpsychological active factors originating in the therapist. In 30 individuals, an acupuncture needle was inserted in the acupoint PC6 using a special device without touching the needle. A second device was used to fix the needle rigidly in place, excluding any mechanical transmission of movement from the handle to the needle's tip. Each participant was exposed in random order to a control and a stimulation phase. During the stimulation phase, the free needle's end was held by the therapist to allow the transmission of Qi; during the control phase, it was left untouched. Participants' subjective sensations during the stimulation phase and the control phase were recorded using a questionnaire. Twenty-two of 28 (79%; p = 0.003) test participants believed that they had received stimulation when it had actually been performed, and 26 (93%; p < 0.001) sensed differences between the two experimental phases. Thus, participants were able to sense the transmission of therapeutic Qi in the absence of mechanical or psychological factors.

Efecto del tiempo de maceración sobre el color, la composición tánica y la astringencia de vinos Cabernet Sauvignon y Malbec

El objetivo del trabajo fue estudiar el efecto del tiempo de maceración sobre la composición tánica, el color y la astringencia de vinos Cabernet Sauvignon y Malbec, provenientes de la Zona Alta del Río Mendoza y saber qué tiempo de maceración permite una mayor expresión del color y del cuerpo del vino. A partir de dos vinificaciones industriales, se realizaron muestreos para determinar las curvas de extracción de los componentes fenólicos y del color. Además, se llevaron a cabo dos experimentos probando un tiempo de maceración corto, de 5 días, uno “clásico" en la región, de 10 días, y uno largo, de 20 días. En los vinos resultantes se determinó el perfil fenólico, discriminando los componentes tánicos y del color, durante el primer año de conservación en vasijas de vidrio. Se utilizaron técnicas de espectrometría VIS y UV y los vinos fueron evaluados por un panel de expertos degustadores. La variedad Cabernet S. siguió un patrón de extracción de antocianos y taninos durante la maceración acorde con lo que indica la bibliografía. La magnitud del color rojo alcanzó un máximo cerca del 10º día y luego sufrió una caída que, en la maceración de 20 días, significó una pérdida de alrededor de un 10%. Los taninos aumentaron rápidamente hasta el 10º día y luego continuaron creciendo muy lentamente. Los vinos Cabernet S. obtenidos con maceración de 10 días y de 20 días resultaron muy superiores en cuanto a los contenidos de antocianos, color polimérico y taninos. También provocaron sensaciones de concentración y untuosidad mayores. Además resultaron más ásperos, astringentes y secantes que los de 5 días, pero estas sensaciones fueron moderadas. Los vinos de 20 días fueron similares a los de 10 días salvo en que alcanzaron un contenido mayor de polifenoles totales y de taninos no astringentes. La variedad Malbec siguió un patrón de extracción de antocianos y taninos similar al Cabernet S. hasta el 10º día, pero luego ambos mostraron una caída pronunciada, como consecuencia de un deterioro oxidativo. La maceración de 10 días resultó óptima y los vinos se destacaron por su mayor contenido en polifenoles totales, antocianos, color polimérico y taninos. Estos atributos provocaron sensaciones de concentración y untuosidad destacadas y similares a las de los Cabernet S. de 10 y 20 días. Las sensaciones de secante, áspero y astringente fueron menores que en los Cabernet. Los Malbec de 5 días resultaron muy pobres en atributos y los de 20 días con característics intermedias entre los de 5 y los de 10 días. En ambas variedades la pérdida en los contenidos de antocianos copigmentados se acompañó de un aumento proporcional en los contenidos de antocianos polimerizados. Durante el estacionamiento todos los vinos Cabernet S. y Malbec sufrieron una degradación de polifenoles totales, antocianos y taninos. El ritmo de degradación de cada compuesto fue similar para los distintos vinos, sin importar las concentraciones iniciales del compuesto. En ambas variedades los polifenoles totales y los taninos se correlacionaron positivamente con la aspereza, la astringencia, lo secante, la untuosidad y la concentración. Lo secante se asoció negativamente con la proporción de taninos no precipitables con gelatina. La espectrometría VIS y UV, como método instrumental de análisis, resultó suficientemente potente como para permitir una la apreciación del perfil fenólico y diferenciar los vinos Cabernet S. de los Malbec, independientemente del tiempo de maceración con que fueron elaborados.

Influencia del tiempo de maceración sobre el color, la composición tánica y la astringencia de vinos Cabernet Sauvignon y Malbec de Argentina

El objetivo fue determinar qué tiempo de maceración permite una mayor expresión del color y del cuerpo y una menor astringencia en vinos Cabernet Sauvignon (CS) y Malbec (M), de Mendoza, Argentina. A partir de dos vinificaciones industriales de 20 000 L se llevó a cabo un experimento (n = 3) probando tres tiempos de maceración: 5, 10 y 20 días, mediante sucesivos descubes de 60 L. En los vinos resultantes se determinaron fenoles totales, taninos condensados totales, índice de gelatina, intensidad colorante, matiz, color copigmentado y color polimérico, mediante técnicas de espectrofotometría VIS y UV. Los vinos fueron evaluados por un panel de degustadores expertos. Los CS obtenidos con maceración de 10 y 20 días fueron similares y resultaron superiores a los de 5 días en contenidos de antocianos, color polimérico y taninos. También provocaron sensaciones de concentración y untuosidad mayores. Además resultaron más ásperos, astringentes y secantes que los de 5 días, pero estas sensaciones no alcanzaron notas elevadas. Los vinos CS de 20 días alcanzaron contenidos de polifenoles totales y de taninos no precipitables con gelatina mayores que los CS de 10 días. Los vinos M de 10 lograron mayores intensidades colorantes, polifenoles tales, antocianos, color polimérico y taninos que los de 5 y 20 días. Esto se asoció con sensaciones de concentración y untuosidad intensas y similares a las de los CS de 10 y 20 días pero con menos aspereza, astringencia y secante. Los M de 5 días resultaron muy pobres en atributos y los de 20 días con características intermedias entre los M de 5 y los M de 10 días. Tomando en cuenta las dos variedades y los tres tiempos de maceración, cuanto mayor fue el tiempo de maceración menor fue la proporción de antocianos copigmentados y mayor la de antocianos polimerizados. Los polifenoles totales y los taninos se correlacionaron positivamente con la aspereza, la astringencia, lo secante, la untuosidad y la concentración. Lo secante se asoció negativamente con la proporción de taninos no precipitables con gelatina.

El humor luciánico en las Narrativas Verdaderas : una estética del desencanto

De la lectura de las Narrativas Verdaderas se sale sin conmoción y sin indiferencia, lo que no es una combinación sencilla de sensaciones y de algún modo nos obliga a corrernos de los roles habituales de la recepción para ‘pensar’. En la lectura que proponemos de Narrativas, Luciano se ubica dentro de la tradición filosófica cínica, basada en la acción y exigente de consecuencia entre el decir y el hacer. Desde su materialismo esencial se aparta, pues, del idealismo de su querido Platón y, a partir de ese sentido de la existencia y en consecuencia con él, encontramos una base para entender su sentido del humor. Para Luciano –y esto se hace evidente desde el título hasta la última escena de Narrativas–, la mentira y los mentirosos son cómicos en todas sus formas. Confrontar la mentira con la realidad de la vida es base de la risa luciánica; más allá de Aristóteles y su algo obvia definición de la risa como humana, Luciano especifica el concepto en dirección a lo ‘culturalmente humano’.

Ezequiel: Relato de vida

El abordaje del presente relato despliega la situación de vida de un sujeto adolescente que desde temprana edad se relaciona con un docente de Educación Física. Interactuando por los distintos niveles educativos, y casi por azar, la vida de los dos se entrelazará y se relacionará en diferentes contextos de pobreza, indigencia y sometimiento. La narración pretende así recrear con crudeza las sensaciones que acompañan a la orfandad y la vulnerabilidad producto de la marginalidad, así como las consecuencias de teorizaciones pedagógicas vacías y de una escuela sin sentido, donde el devenir del maestro concurrirá para persuadir a su alumno de realizar una mejor vida. El objetivo final de este relato es intentar, humildemente, reflejar algo de la subsistencia de incontables niños y adolescentes de nuestro sistema educativo.