Étude des mécanismes psychophysiologiques de la modulation volontaire de la douleur par le biofeedback et la respiration.

Bien que la douleur soit une expérience subjective universelle, la façon de la percevoir et de l’interpréter est modulée par une multitude de facteurs. Plusieurs interventions cognitives se sont montrées efficaces pour réduire la douleur dans des conditions cliniques et expérimentales. Cette thèse s’intéressera particulièrement aux mécanismes psychophysiologiques impliqués dans les stratégies de modulation volontaire de la douleur. Ces stratégies sont intéressantes puisqu’elles encouragent une prise en charge par l’individu, lui permettant de jouer un rôle actif dans la régulation de sa douleur. La première étude s’intéresse à l’efficacité du biofeedback comme moyen de modulation volontaire de la douleur. Il s’agissait de déterminer si le fait de présenter une rétroaction de l’amplitude du réflex RIII (évoqué par une stimulation électrique du nerf sural) au cours d’un entraînement de plusieurs essais permettrait au participant d’adopter des stratégies de modulation de la douleur et d’activer volontairement des mécanismes de contrôle descendant de la douleur. De façon à évaluer spécifiquement les changements induits par le biofeedback, la modulation du réflexe RIII et de la douleur était comparée dans trois groupes (biofeedback valide, faux biofeedback et groupe contrôle sans rétroaction). Dans les trois groupes, il était suggéré aux participants d’utiliser des stratégies cognitives de modulation de la douleur (attention, modulation de la respiration, réévaluation cognitive et imagerie mentale) afin d’augmenter ou de diminuer leur réflexe RIII comparativement à leur niveau de base. Les résultats de notre étude indiquent que les participants des 3 groupes ont réussi à moduler leur réflexe RIII (p<0,001) ainsi que leurs évaluations de douleur (p<0,001) (intensité et désagrément). Les résultats de notre étude montrent que l’entraînement au biofeedback n’était pas nécessaire pour obtenir une modulation du réflexe RIII et de la douleur, ce qui suggère que l’utilisation de stratégies cognitives pourrait être suffisante pour déclencher des mécanismes de contrôle de la douleur. La deuxième étude découle de la première et s’intéressait à l’influence de la fréquence et de la phase respiratoire sur la nociception spinale, l’activité cérébrale et la perception de douleur. Le contrôle volontaire de la respiration est un moyen commun de régulation des émotions et est fréquemment utilisé en combinaison avec d’autres techniques (ex. : relaxation, méditation) dans le but de réguler la douleur. Les participants étaient invités à synchroniser leur respiration à des indices sonores indiquant le moment de l’inspiration et de l’expiration. Trois patrons de respiration étaient proposés (respiration à 0,1Hz avec une inspiration de 4 secondes, respiration à 0,1Hz avec une inspiration de 2 secondes et respiration à 0,2Hz avec une inspiration de 2 secondes. La moitié des stimulations étaient données durant l’inspiration et l’autre moitié durant l’expiration. Afin d’évaluer l’effet de ces manipulations, l’amplitude du RIII, l’évaluation subjective d’intensité de la douleur et de l’anxiété suscitée par le choc en plus des potentiels évoqués étaient mesurés. Les résultats de cette étude démontrent que les évaluations d’intensité de la douleur n’étaient pas affectées par le patron respiratoire (p=0,3), mais étaient statistiquement plus basses durant l’inspiration comparativement à l’expiration (p=0,02). Un effet de phase (p=0,03) était également observé sur les potentiels évoqués durant la condition de respiration à 0,1hHz avec une inspiration de 2 secondes comparativement au patron de respiration de 0,2Hz. Paradoxalement, l’amplitude du réflexe RIII était augmenté durant l’inspiration (p=0,02) comparativement à l’expiration. Ces résultats montrent que la manipulation de la fréquence et de la phase respiratoires (par une synchronisation imposée) a un effet marginal sur les évaluations de douleur et sur l’activité cérébrale et spinale évoquée par une stimulation électrique (douleur aigüe). Cela suggère que d’autres mécanismes contribuent aux effets analgésiques observés dans la relaxation et la méditation. Plus largement, nos résultats font état de la nécessité d’études plus approfondies avec une méthodologie plus rigoureuse afin de contrôler les effets non spécifiques aux traitements évalués. Une meilleure connaissance des mécanismes sous-tendant chaque stratégie permettrait de mieux cibler les clientèles susceptibles d’y répondre et de mieux considérer le ratio coût bénéfice de chaque traitement.

The Nursing Intensity Critical Care Questionnaire (NICCQ) : Validation Study in Cardiac Surgery Patients

Nurse Managers need today more than ever instruments that can be used to justify the billions of dollars that are invested in the healthcare sector annually. The objective of the study was to establish the validity and reliability of the Nursing Intensity Critical Care Questionnaire (NICCQ) in a cardiac surgery intensive care unit (CSICU) of a tertiary hospital. An expert panel evaluated the questionnaire’s content validity while generalizability theory was used to estimate the G and D coefficients. Decision studies enabled the investigators to determine if the current ward functioning of having one nurse rate one patient is adequate. Also, exploratory factorial analyses (EFA) preceded by principal component analyses (PCA) looked at establishing the factorial structure for the NICCQ. Finally, the NICCQ was correlated with a severity of illness score known as the Acute Physiology And Chronic Health Evaluation II (APACHE II) to estimate the correlation between patient illness and nursing intensity of care. The NICCQ was used by nurses using a sample of patients who had undergone cardiac surgery and were hospitalized on a CSICU of a tertiary teaching hospital. A convenience sample of nurses and patients on the CSICU was used to reflect the procedures and usual functioning of the unit. Each item on the questionnaire measured nursing intensity of care using a three point ordinal scale (Light, Moderate, and Severe) for the first 11 items, and a five point ordinal scale for the global assessment item (including the intermediate categories light/moderate and moderate/severe). The questionnaire proved to be both valid and able to be generalized to all nurses working in the CSICU. Overall results showed that 94.4% of the item generalizability coefficients indicated acceptable to excellent reliability, with most (86.1%) being larger than .90. The EFA established a simple 4 factor structure that explained little of the variance (32%). A correlation coefficient of 0.36 indicated that patient’ severity of illness is somewhat correlated with nursing intensity of care. The study showed that the NICCQ is a valid questionnaire with a generalizability coefficient that is large enough to be used by nurses’ managers for administrative purposes. Further research using larger samples would be needed to further test the factor structure of the NICCQ.

Corrélats neuronaux sous-jacents aux expressions émotionnelles : une comparaison entre musique, voix et visage

Cette thèse a pour objectif de comparer les expressions émotionnelles évoquées par la musique, la voix (expressions non-linguistiques) et le visage sur les plans comportemental et neuronal. Plus précisément, le but est de bénéficier de l’indéniable pouvoir émotionnel de la musique afin de raffiner notre compréhension des théories et des modèles actuels associés au traitement émotionnel. Qui plus est, il est possible que cette disposition surprenante de la musique pour évoquer des émotions soit issue de sa capacité à s’immiscer dans les circuits neuronaux dédiés à la voix, bien que les évidences à cet effet demeurent éparses pour le moment. Une telle comparaison peut potentiellement permettre d’élucider, en partie, la nature des émotions musicales. Pour ce faire, différentes études ont été réalisées et sont ici présentées dans deux articles distincts. Les études présentées dans le premier article ont comparé, sur le plan comportemental, les effets d’expressions émotionnelles sur la mémoire entre les domaines musical et vocal (non-linguistique). Les résultats ont révélé un avantage systématique en mémoire pour la peur dans les deux domaines. Aussi, une corrélation dans la performance individuelle en mémoire a été trouvée entre les expressions de peur musicales et vocales. Ces résultats sont donc cohérents avec l’hypothèse d’un traitement perceptif similaire entre la musique et la voix. Dans le deuxième article, les corrélats neuronaux associés à la perception d’expressions émotionnelles évoquées par la musique, la voix et le visage ont été directement comparés en imagerie par résonnance magnétique fonctionnelle (IRMf). Une augmentation significative du signal « Blood Oxygen Level Dependent » (BOLD) a été trouvée dans l’amygdale (et à l’insula postérieure) en réponse à la peur, parmi l’ensemble des domaines et des modalités à l’étude. Une corrélation dans la réponse BOLD individuelle de l’amygdale, entre le traitement musical et vocal, a aussi été mise en évidence, suggérant à nouveau des similarités entre les deux domaines. En outre, des régions spécifiques à chaque domaine ont été relevées. Notamment, le gyrus fusiforme (FG/FFA) pour les expressions du visage, le sulcus temporal supérieur (STS) pour les expressions vocales ainsi qu’une portion antérieure du gyrus temporal supérieur (STG) particulièrement sensible aux expressions musicales (peur et joie), dont la réponse s’est avérée modulée par l’intensité des stimuli. Mis ensemble, ces résultats révèlent des similarités mais aussi des différences dans le traitement d’expressions émotionnelles véhiculées par les modalités visuelle et auditive, de même que différents domaines dans la modalité auditive (musique et voix). Plus particulièrement, il appert que les expressions musicales et vocales partagent d’étroites similarités surtout en ce qui a trait au traitement de la peur. Ces données s’ajoutent aux connaissances actuelles quant au pouvoir émotionnel de la musique et contribuent à élucider les mécanismes perceptuels sous-jacents au traitement des émotions musicales. Par conséquent, ces résultats donnent aussi un appui important à l’utilisation de la musique dans l’étude des émotions qui pourra éventuellement contribuer au développement de potentielles interventions auprès de populations psychiatriques.

Fabrication Of Potentiometric Sensors For The Determination Of Certain Metal Ions

In this study Fabrication of Potentiometric sensors for the determination of certain metal ions, presents the synthesis and characterization of seven ionophores, their use in the fabrication of potentiometric sensors and the results and discussion of fourteen sensors developed for the determination of five transition metal ions. As part of the present investigations a total of fourteen potentiometric sensors have been developed and fabricated. A three fold approach has been taken in developing he sensors, PVC plasticized membrane sensor, carbon paste electrode and chemically modified carbon paste electrode. All the sensors are highly useful in the determination of metal ions such as manganese, nickel, copper, mercury and lead. A through analytical study has been carried out with respect to each other developed. Based on these studies, optimum conditions have been developed for the quantitative determinations of the selected metal ions using the sensors. Systematic application studies have also been carried out for all the developed sensors and the results revealed that the presently developed sensors are far superior than most of the sensors reported.

Evanescent Wave Fibre Optic Sensors for Trace Analysis of Fe3+ in Water

In this communication, we discuss the details of fabricating an off-line fibre optic sensor (FOS) based on evanescent wave absorption for detecting trace amounts of Fe3+ in water. Two types of FOS are developed; one type uses the unclad portion of a multimode silica fibre as the sensing region whereas the other employs the microbent portion of a multimode plastic fibre as the sensing region. Sensing is performed by measuring the absorption of the evanescent wave in a reagent medium surrounding the sensing region. To evaluate the relative merits of the two types of FOS in Fe3+ sensing, a comparative study of the sensors is made, which reveals the superiority of the latter in many respects, such as smaller sensing length, use of a double detection scheme (for detecting both core and cladding modes) and higher sensitivity of cladding mode detection at an intermediate range of concentration along with the added advantage that plastic fibres are inexpensive. A detection limit of 1 ppb is observed in both types of fibre and the range of detection can be as large as 1 ppb–50 ppm. All the measurements are carried out using a LabVIEW set-up.

Evanescent wave fibre optic sensors for trace analysis of Fe3+ in water

In this communication, we discuss the details of fabricating an off-line fibre optic sensor (FOS) based on evanescent wave absorption for detecting trace amounts of Fe3+ in water. Two types of FOS are developed; one type uses the unclad portion of a multimode silica fibre as the sensing region whereas the other employs the microbent portion of a multimode plastic fibre as the sensing region. Sensing is performed by measuring the absorption of the evanescent wave in a reagent medium surrounding the sensing region. To evaluate the relative merits of the two types of FOS in Fe3+ sensing, a comparative study of the sensors is made, which reveals the superiority of the latter in many respects, such as smaller sensing length, use of a double detection scheme (for detecting both core and cladding modes) and higher sensitivity of cladding mode detection at an intermediate range of concentration along with the added advantage that plastic fibres are inexpensive. A detection limit of 1 ppb is observed in both types of fibre and the range of detection can be as large as 1 ppb–50 ppm. All the measurements are carried out using a LabVIEW set-up.

Evanescent wave fibre optic sensors for trace analysis of Fe3+ in water

In this communication, we discuss the details of fabricating an off-line fibre optic sensor (FOS) based on evanescent wave absorption for detecting trace amounts of Fe3+ in water. Two types of FOS are developed; one type uses the unclad portion of a multimode silica fibre as the sensing region whereas the other employs the microbent portion of a multimode plastic fibre as the sensing region. Sensing is performed by measuring the absorption of the evanescent wave in a reagent medium surrounding the sensing region. To evaluate the relative merits of the two types of FOS in Fe3+ sensing, a comparative study of the sensors is made, which reveals the superiority of the latter in many respects, such as smaller sensing length, use of a double detection scheme (for detecting both core and cladding modes) and higher sensitivity of cladding mode detection at an intermediate range of concentration along with the added advantage that plastic fibres are inexpensive. A detection limit of 1 ppb is observed in both types of fibre and the range of detection can be as large as 1 ppb–50 ppm. All the measurements are carried out using a LabVIEW set-up.

Evanescent wave fibre optic sensors for trace analysis of Fe3+ in water

In this communication, we discuss the details of fabricating an off-line fibre optic sensor (FOS) based on evanescent wave absorption for detecting trace amounts of Fe3+ in water. Two types of FOS are developed; one type uses the unclad portion of a multimode silica fibre as the sensing region whereas the other employs the microbent portion of a multimode plastic fibre as the sensing region. Sensing is performed by measuring the absorption of the evanescent wave in a reagent medium surrounding the sensing region. To evaluate the relative merits of the two types of FOS in Fe3+ sensing, a comparative study of the sensors is made, which reveals the superiority of the latter in many respects, such as smaller sensing length, use of a double detection scheme (for detecting both core and cladding modes) and higher sensitivity of cladding mode detection at an intermediate range of concentration along with the added advantage that plastic fibres are inexpensive. A detection limit of 1 ppb is observed in both types of fibre and the range of detection can be as large as 1 ppb–50 ppm. All the measurements are carried out using a LabVIEW set-up.

Metglas thin film based magnetostrictive transducers for use in long period fibre grating sensors

Metallic glass alloy Metglas 2826 MB based amorphous magnetic thin films were fabricated by the thermal evaporation technique. Transmission electron micrographs and electron diffraction pattern showed the amorphous nature of the films. Composition of the films was analyzed employing x-ray photoelectron spectroscopy and energy dispersive x-ray spectroscopy techniques. The film was integrated to a long period fibre grating. It was observed that the resonance wavelength of the fibre grating decreased with an increase in the magnetic field. Change in the resonance wavelength was minimal at higher magnetic fields. Field dependent magnetostriction values revealed the potential application of these films in magnetostrictive sensor devices

Interannual Variability of Upwelling Indices in the Southeastern Arabian Sea: A Satellite Based Study

Increase in sea surface temperature with global warming has an impact on coastal upwelling. Past two decades (1988 to 2007) of satellite observed sea surface temperatures and space borne scatterometer measured winds have provided an insight into the dynamics of coastal upwelling in the southeastern Arabian Sea, in the global warming scenario. These high resolution data products have shown inconsistent variability with a rapid rise in sea surface temperature between 1992 and 1998 and again from 2004 to 2007. The upwelling indices derived from both sea surface temperature and wind have shown that there is an increase in the intensity of upwelling during the period 1998 to 2004 than the previous decade. These indices have been modulated by the extreme climatic events like El–Nino and Indian Ocean Dipole that happened during 1991–92 and 1997–98. A considerable drop in the intensity of upwelling was observed concurrent with these events. Apart from the impact of global warming on the upwelling, the present study also provides an insight into spatial variability of upwelling along the coast. Noticeable fact is that the intensity of offshore Ekman transport off 8oN during the winter monsoon is as high as that during the usual upwelling season in summer monsoon. A drop in the meridional wind speed during the years 2005, 2006 and 2007 has resulted in extreme decrease in upwelling though the zonal wind and the total wind magnitude are a notch higher than the previous years. This decrease in upwelling strength has resulted in reduced productivity too.

PVC Supported Liquid Membrane and Carbon Paste Potentiometric Sensors Incorporating a Mn(III)-Porphyrin for the Direct Determination of Undissociated Paracetamol

PVC supported liquid membrane and carbon paste potentiometric sensors incorporating an Mn(III)-porphyrin complex as a neutral host molecule were developed for the determination of paracetamol. The measurements were carried out in solution at pH 5.5. Under such conditions paracetamol exists as a neutral molecule. The mechanism of molecular recognition between the Mn(III)-porphyrin and paracetamol, leading to potentiometric signal generation, is discussed.The sensitivity and selectivity toward paracetamol of carbon paste and polymeric liquid membrane electrodes incorporating an Mn(III)-porphyrin host were compared. The applicability of these sensors to the direct determination of paracetamol was checked by performing a recovery test in human plasma.

Fabrication of Potentiometric Sensors for the Selective Determination of Ketoconazole

The fabrication and analytical applications of two types of potentiometric sensors for the determination of ketoconazole (KET) are described. The sensors are based on the use of KET-molybdophosphoric acid (MPA) ion pair as electroactive material. The fabricated sensors include both polymer membrane and carbon paste electrodes. Both sensors showed a linear, stable and near Nernstian slope of 57.8mV=decade and 55.2mV=decade for PVC membrane and carbon paste sensors respectively over a relatively wide range of KET concentration (1×10-2-5×10-5 and 1×10-2-1×10-6). The sensors showed a fast response time of <30 sec and <45 sec. A useful pH range of 3–6 was obtained for both types of sensors. A detection limit of 2.96 10 5M was obtained for PVC membrane sensor and 6.91 10 6M was obtained for carbon paste sensor. The proposed sensors proved to have a good selectivity for KET with respect to a large number of ions. The proposed sensors were successfully applied for the determination of KET in pharmaceutical formulations. The results obtained are in good agreement with the values obtained by the standard method.

EVANESCENT WAVE FIBRE OPTIC SENSORS: DESIGN, FABRICATION AND CHARACTERIZATION

International School of Photonics, Cochin University of Science and Technology

Design. Fabrication and Characterization of Fiber Optic Sensors for Physical and Chemical Applications

Advent of lasers together with the advancement in fiber optics technology has revolutionized the sensor technology. Advancement in the telemetric applications of optical fiber based measurements is an added bonus. The present thesis describes variety of fiber based sensors using techniques like micro bending, long period grating and evanescent waves. Sensors to measure various physical and chemical parameters are described in this thesis.

Design and Development of Fiber Optic Sensors for Trace Detection of Certain Environmental Pollutants

In recent years,photonics has emerged as an essential technology related to such diverse fields like laser technology,fiber optics,communication,optical signal processing,computing,entertainment,consumer electronics etc.Availabilities of semiconductor lasers and low loss fibers have also revolutionized the field of sensor technology including telemetry. There exist fiber optic sensors which are sensitive,reliable.light weight and accurate devices which find applications in wide range of areas like biomedicine,aviation,surgery,pollution monitoring etc.,apart from areas in basic sciences.The present thesis deals with the design,fabrication and characterization of a variety of cost effective and sensitive fiber optic sensors for the trace detetction of certain environment pollutants in air and water.The sensor design is carried out using the techniques like evanescent waves,micro bending and long period gratings.