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Biomedical subjects

A Dittmar

Publications and source records attributed to A Dittmar.

At least 19 recordsLinked to original sources
PubMed2004

Reversible meiotic abnormalities in azoospermic men with bilateral varicocele after microsurgical correction.

Because of a possible relationship between microenvironmental disturbances and meiotic abnormalities and of a straight relationship between lower-quality semen in patient carrying a varicocele and first meiotic non-disjunction, bilateral bipolar testicular biopsies are realized according the thermic differential gradient described in varicocele. Systematic meiotic studies of multiple testicular biopsies from 65 azoospermic men with bilateral varicocele were done in a multi-centric study on microsurgical correction of bilateral varicocele with microthermic intra-operative evaluation using minimally invasive thermal microsensors (Betatherm 10K3MCD2). In the present study abnormal temperature raising, histomorphometric abnormalities (spermatocyte arrest) and meiotic abnormalities (class IIC) are strongly correlated. In the ten patients submitted to another testicular biopsy procedure six months after surgery for TESE, normal thermal differential is registered and no meiotic abnormalities recurrences are found.

Biopsy↗
PubMed2003

[Instrumental extraction in 2002 in the "AURORE" hospital network: incidence and serious neonatal complications].

OBJECTIVES: The purpose of this study was to evaluate the incidence of forceps and vacuum application and the incidence of its related neonatal complications. This study was performed in a network of 37 maternity hospitals. PATIENTS AND METHOD: A postal questionnaire was sent to 156 obstetricians between February and March 2003. RESULTS: Response rate was 78%. In 2002 the operative vaginal delivery rate was 11.2% of all live births. Forceps are the primary instruments (6.3%) whereas vacuum delivery rate was 4.9%. One obstetrician never uses forceps while 38 (31%) never use vacuum. Only 29 (24%) report using both instruments frequently. During 2002 no neonatal death related to an operative vaginal delivery was reported while 145 neonatal complications were (3.2%). Major complications were one depressed skull fracture (1/4589) and 14 extensive caput succedaneum (14/4589). Minor complications were cutaneous lesions (124/4589) and facial palsy (6/4589). Vacuum delivery was associated with a significantly higher extensive caput succedaneum rate (P = 0.018) while the only depressed skull fracture observed was related to forceps use. Forceps delivery was associated with a significantly higher cutaneous lesions rate (P < 0.001). DISCUSSION AND CONCLUSIONS: This study showed that, in 2002, operative vaginal deliveries still represent a significant amount of vaginal deliveries, a majority of obstetricians do not use both instrument and neonatal associated complications are frequent (3.2%) but rarely severe. Therefore, we believe that every method that allows a safe teaching of operative delivery should be promoted.

Adult↗
PubMed2003

Gender influence on emotional responses to primary tastes.

Several studies have examined the gender differences in the area of emotion, but few data are available in the field of gustation. Yet, such differences are observed in clinical manifestations of nutritional disorders, such as a greater incidence of carbohydrate cravings in women. The aim of this study was consequently to examine the influence of gender on emotional responses to taste, by comparing autonomic responses and basic emotions associated with primary tastes between men and women. Thirty-four subjects (17 males, 17 females, mean age=28) participated in the experiment. Taste stimuli were solutions of 0.3 M sucrose (sweet), 0.15 M NaCl (salty), 0.02 M citric acid (sour) and 0.00015 M quinine sulfate (bitter). Evian mineral water served as the diluent and control (neutral taste). Five autonomic parameters [skin potential (SP) and resistance (SR), skin blood flow (SBF) and temperature (ST), instantaneous heart rate (IHR)] were simultaneously and continuously recorded when subjects tasted the five solutions. The patterns of autonomic responses, obtained for each primary taste and each subject, were transcribed into one of the six basic emotions defined by Ekman (happiness, surprise, sadness, fear, anger and disgust), according to a previously described method for odorants. Results evidenced that the mean variations of each autonomic parameter did not significantly differ between men and women, even if skin resistance and cardiac responses were stronger in men than in women. Concerning the basic emotions associated with each primary taste, a similar distribution for men and women was obtained for sweet, bitter and control solutions, whereas more differences were observed for salt (P=.02) and sour solutions.

Adult↗
PubMed2000

Autonomic nervous system activity associated with postural disturbances in patients with perilymphatic fistula: sympathetic or vagal origin?

The study focused on patients suffering from perilymphatic fistula (PLF), whether they had undergone surgery or not. Vestibular disturbances can be harmless but are associated with varying symptoms, demonstrating disorders within the autonomic nervous system (ANS). The aim was to test whether the orthosympathetic is involved as the vagal part is often suspected of eliciting a feeling of sickness. Non-invasive and uninterrupted recording of ANS activity represents an objectivation technique to evidence such disturbances. Electrodermal activity, thermovascular variables, instantaneous cardiac rate and blood pressure were recorded. Discomfort was triggered experimentally by applying various stimulations successively to the intact ear then to the PLF (or operated) side. Twelve subjects took part in the experiment. Two types of ANS activity were distinguished: (1) phasic responses during stimulation and (2) tonic evolution thereafter. Results show strong activation in orthosympathetic variables when the PLF side was stimulated. No further significant difference between the two sides was to be observed following surgery. After stimulation, a sudden increase in skin resistance was observed, associated with slight bradycardia. No vagal signs having been evidenced, actual nausea may result from brief inhibition of sympathetic activation resulting, in turn from primary over-activation of this system.

Adult↗
PubMed2000

Autonomic nervous system responses associated with primary tastes.

The hedonic dimension of the taste sensation plays a crucial role in the control of many taste-mediated responses related to food ingestion or rejection. The purpose of this study was to evaluate the emotional reactivity associated with each primary taste (sweet, salty, sour and bitter) through analysis of the variations of autonomic nervous system (ANS) parameters. Thirty-four healthy non-smoker volunteer subjects (17 males and 17 females, mean age = 28 years) participated in the experiment. Taste stimuli were solutions of 0.3 M sucrose (sweet), 0.15 M NaCl (salty), 0.02 M citric acid (sour) and 0.00015 M quinine sulfate (bitter). Evian mineral water was used as the diluent and control (neutral taste). Throughout the test, five ANS parameters (skin potential and skin resistance, skin blood flow and skin temperature, and instantaneous heart rate) were simultaneously and continuously recorded. Results of the ANOVA evidenced a significant effect of primary taste on skin resistance amplitude (P: < 0.001) and duration (P: < 0.0001), skin temperature amplitude (P: < 0.001), skin blood flow amplitude (vasoconstriction) (P: < 0.0001) and instantaneous heart rate increase (P: < 0.0001). Skin resistance and cardiac responses were the most relevant ANS parameters to distinguish among the taste solutions. The four primary tastes could be associated with significantly different ANS responses in relation to their hedonic valence: the pleasantly connoted and innate-accepted sweet taste induced the weakest ANS responses whereas the unpleasant connoted tastes (salty, sour and bitter) induced stronger ANS responses, the innate-rejected bitter taste inducing the strongest ones. Such a neurovegetative characterization of each primary taste could provide references for the hedonic analysis of the more complex gustative sensation attached to foods.

Adult↗
PubMed2000

The relationship between normal lung sounds, age, and gender.

Auscultation is one of the most important noninvasive and feasible methods for the detection of lung diseases. Systematic changes in breathing sounds with increasing age are of diagnostic importance. To investigate these changes, we recorded lung sounds taken from four locations in the posterior thorax of 162 subjects, together with airflow. The data were analyzed according to age, sex, and smoking habit. In order to describe the power spectrum of the lung sounds, we calculated mean and median frequency, frequency with the highest power, and a ratio (Q) of relative power of the two frequency bands of 330 to 600 Hz and 60 to 330 Hz. Linear regression analysis was used as a measurement of age-dependence of these variables. Significant differences in Q were found in men versus women (p < 0.05), but not in smokers versus nonsmokers. Within the groups, a small but significant correlation existed between Q and age (r(2) </= 0.1, p < 0.05). For both men and women, a slight increase of the relative power in the frequency band of 330 to 600 Hz was recorded with increasing age. However, on the basis of large individual variations, these small changes (DeltaQ approximately 5%, SD(Q) >/= +/- 5%) have no clinical significance and need not to be considered in the automatic detection of lung diseases by analyzing lung sounds.

Adult↗
PubMed1999

Basic emotions induced by odorants: a new approach based on autonomic pattern results.

The aim of this study was to link the effects of odorants with the emotional process, through autonomic nervous system (ANS) responses. Taking Ekman's data and our previous results into account, we tried to verify a possible evocation by odorants of some basic emotions, i.e. anger, fear, sadness, surprise, disgust and happiness. The question investigated was: would it be possible to associate any of these emotions with a pattern of autonomic responses? A total of 15 subjects inhaled five odorants: lavender, ethyl aceto acetate, camphor, acetic acid and butyric acid acting as olfactory stimuli. After inhaling the odorant, subjects were requested to fill out an 11-point hedonic scale to rate its 'pleasantness' vs. 'unpleasantness'. ANS parameters monitored were skin potential and resistance, skin blood flow and temperature, instantaneous respiratory frequency and instantaneous heart rate. Simultaneous recording of these six autonomic parameters permitted the analysis of phasic responses through specific ANS patterns. An analysis of variance made it possible to differentiate among the five odorants. Two-by-two odorant comparisons for autonomic responses using Tukey's HSD multiple comparison test only permitted differentiation between 'pleasant' and 'unpleasant' odors. Camphor was differentiated from both types. For instance, long duration responses were associated with 'unpleasant' odors whereas camphor elicited intermediate responses. Taking into account each subject's preferential channel, it was possible to associate each ANS pattern with a basic emotion by means of a decision tree. The computation of subjects' responses made it possible to associate an odorant with a basic emotion, over the whole group: lavender elicited mostly 'happiness', as did, to a lesser degree ethyl aceto acetate; camphor induced either 'happiness', 'surprise' or 'sadness' according to subjects' past histories; butyric and acetic acids mainly induced negative emotions: 'anger' and 'disgust'. A high correlation was evidenced between subjects' hedonic evaluation and autonomic estimation of basic emotions. These results obtained from 15 subjects were compared to those observed in two similar experiments. These approaches showed comparable results. Thus, more than 60 subjects showed similar autonomic responses which can be transcribed into basic emotions. Thus, a multiparametric autonomic analysis allows the identification of the quality of the response, i.e. the type of basic emotion in addition to the intensity.

Adult↗
PubMed1999

Autonomic nervous system responses as performance indicators among volleyball players.

Complex motor skills require planning and programming before execution. The autonomic nervous system (ANS) is thought to transcribe these central operations at the peripheral level: a motor act is thought to be simultaneously programmed by central and autonomic nervous structures. The aim of this study was to verify that autonomic responses reflect the quality of central motor programming leading to successful or failed performance when subjects are required to perform a complex motor skill. The specificity of the ANS response has already been demonstrated through direct recording from sympathetic fibres. It has also been demonstrated through several mental tasks and closed motor skills such as shooting: ANS responses have been shown to be capable of distinguishing success from failure. The aim of this experiment was to test whether ANS responses are capable of distinguishing two levels of achievement during the performance of a skill involving uncertainty (open skill). The subjects had to intercept a ball on a volleyball court, using the forearm receive and pass technique, in order to pass it on to a moving human target. The results were displayed in terms of accuracy: accurate passes were successful and inaccurate passes missed the target. Six autonomic variables were recorded simultaneously during the task: skin resistance and potential, skin blood flow and temperature, instantaneous heart rate and respiratory frequency. Results showed that autonomic variables were capable of distinguishing success from failure in 22 subjects out of 24. This made it possible to build up autonomic patterns characterising subjects' performances, and to confirm that autonomic functioning may reveal information processing in the central nervous system. Thus, the study of autonomic responses may constitute an inferential model of central nervous system functioning. Such a method could be used as an index for the control of mental preparation.

Adult↗
PubMed1999

Imagery quality estimated by autonomic response is correlated to sporting performance enhancement.

It is now well established that mental imagery practice improves motor skills, but performance efficiency depends on many factors: the main one being individual differences. The aim of this study is to evaluate performance improvement with imagery quality estimated during ANS recording. Volleyball training ("receiving serve") afforded us the experimental paradigm. Subjects were required to pass an opponent's serve to a given team mate. The receiver's performance was evaluated from the accuracy of his pass to the targeted team mate. From these first test results, subjects were divided into two equivalent groups: imagers and controls. After mental practice the two groups were submitted to a posttest similar to the first one. During the pretest, posttest actual practice as well as the last session of corresponding mental rehearsal, six autonomic parameters were continuously recorded. Furthermore, and for the first time, a grade obtained from four different aspects of this response permits qualitative evaluation of each subject's mental imagery. This estimation, based on the well-established link between performance and autonomic response, is validated by the fact that good correlation was obtained between this grade and the performance improvement of each of the "imager" group subjects.

Adult↗
PubMed1999

Programming or inhibiting action: evidence for differential autonomic nervous system response patterns.

In the general context of decision-making analysis, the aim of this study was to investigate autonomic nervous system activity when movement execution is inhibited just before onset. Using a 'Go/NoGo' paradigm, 16 subjects (nine males and seven females) had to intercept green table-tennis balls thrown by a robot, with the inner side of their hand and by arm extension. Conversely, they had to inhibit movement programming when a red ball was thrown. Results were displayed in terms of success or failure in view of the aim of each trial. Electrodermal, thermo-vascular and cardio-respiratory parameters were continuously recorded from the non-dominant hand. Results showed that the duration of autonomic responses was significantly longer in action than in inhibition. Temperature responses were negative but significantly more marked in action. Instantaneous respiratory frequency amplitude responses were positive in both action and inhibition conditions, but higher in action. Instantaneous heart rate responses confirmed that inhibition elicits cardiac deceleration. Autonomic responses were shown capable of distinguishing action from inhibition, thus reflecting central nervous system functioning. Results are discussed in terms of autonomic response specificity.

Adult↗
PubMed1999

Basic emotions evoked by eugenol odor differ according to the dental experience. A neurovegetative analysis.

Subjective individual experiences seem to indicate that odors may form strong connections with memories, especially those charged with emotional significance. In the dental field, this could be the case with the odorant eugenol, responsible for the typical clinging odor impregnating the dental office. The odor of eugenol could evoke memories of unpleasant dental experiences and, therefore, negative feelings such as anxiety and fear, since eugenates (cements containing eugenol) are used in potentially painful restorative dentistry. This hypothesis was tested by evaluating the emotional impact of the odor of eugenol through autonomic nervous system (ANS) analysis. The simultaneous variations of six ANS parameters (two electrodermal, two thermovascular and two cardiorespiratory), induced by the inhalation of this odorant, were recorded on volunteer subjects. Vanillin (a pleasant odorant) and propionic acid (an unpleasant one) served as controls. After the experiment, subjects were asked to rate the pleasantness versus unpleasantness of each odorant on an 11-point hedonic scale. The patterns of autonomic responses, obtained for each odorant and each subject, were transcribed into one of the six basic emotions defined by Ekman et al. (happiness, surprise, sadness, fear, anger and disgust). Results were compared between two groups of subjects divided according to their dental experience (fearful and non-fearful dental care subjects) and showed significant differences only for eugenol. This odorant was rated as pleasant by non-fearful dental subjects but unpleasant by fearful dental subjects. The evoked autonomic responses were mainly associated with positive basic emotions (happiness and surprise) in non-fearful dental subjects and with negative basic emotions (fear, anger, disgust) in fearful dental subjects. These results suggest that eugenol can be responsible for different emotional states depending on the subjects' dental experience, which seems to confirm the potential role of odors as elicitors of emotional memories. This study also supports the possible influence of the ambient odor impregnating the dental office, strengthening a negative conditioning toward dental care in some anxious patients.

Adult↗
PubMed1998

Autonomic nervous system responses correlate with mental rehearsal in volleyball training.

The aim of this study was to assess objectively the processes of mental rehearsing (imagery) by measuring variations of the autonomic nervous system (or ANS responses) during an open-ended complex motor skill in two actual experiments (volleyball) and during mental rehearsing taking place between them. Comparison between pre- and post-test (volleyball) scores related to imagining and non-imagining performances revealed significant improvement in the former (chi2 = 20.9, P < 0.00001) while in the latter chi2 = 27, P < 0.9, NS. The ANS parameters (skin potential and resistance, skin temperature and heat clearance, instantaneous heart rate and respiratory frequency) were quantified by original techniques and indices. Results from a principal component analysis showed a strong correlation between the responses in actual tasks (pre- and post-test volleyball) and during mental imagery, since the same preferential variables appeared on the main axis in 87% of cases. Thus the same autonomic channels seemed to be used during the actual activity and during the mental imagery of this activity. So far as phasic results were concerned, the main finding was a differing development of skill between imagining and non-imagining volleyball players. No clear difference was seen between pre- and post-tests in non-imaginers, except an increase in the median of the duration of the response observed in heat clearance, m1 and m2 respectively [m1 = 5.8 (SD 4.1) s, m2 = 7.6 (SD 3.9) s, P < 0.001]. Conversely, for other ANS parameters, a significant decrease was seen in the post-test responses compared to pre-test responses in the imagining group [for instance, the median of the duration of the resistance responses decreased from m1 = 12.6 (SD 4.3) s, and m2 = 7.8 (SD 4.5) s, P < 0.0001 in imaginers, while no change was observed in non-imaginers: 9.6 (SD 6.0) s vs 9.5 (SD 6.1) s, NS] except in the duration of the heat clearance response where an increase was seen [m1 = 7.3 (SD 5.0) s vs m2 = 7.6 (SD 3.1) s, NS]. Compared to the non-imagining group, the latter result may also have been associated with a response decrease in the imagining group. Thus mental rehearsing induced a specific pattern of autonomic response: decreased amplitude, shorter duration and negative skin potentials compared to the control group. As this pattern was associated with better performance in the tests it can be suggested that in the case of open-ended motor activity, mental rehearsing may help in the construction of schema which can be reproduced, without thinking, in actual practice. Thus a neural information process might develop in the central nervous system changing from a parallel into a serial treatment.

Adult↗
PubMed1998

Emotional responses evoked by dental odors: an evaluation from autonomic parameters.

Among the factors which could explain avoidance behavior toward dental care, the typical clinging odor of the dental office, due to eugenol, is investigated in this study. The hypothesis is supported by the well-known effects of odorants which may influence cognition, emotion, and behavior. The association between the odor of eugenol and dental fear and anxiety could be explained by the fact that eugenates (eugenol-containing cements) are often used in potentially painful restorative dentistry on vital teeth. The emotional impact of the odors of eugenol and two other dental products (menthol and methyl methacrylate) was evaluated on volunteer subjects through autonomic nervous system (ANS) analysis by recording the variations of six ANS parameters (two electrodermal, two thermovascular, and two cardiorespiratory) induced by the inhalation of the odorants. After the experiment, subjects were asked to fill out an 11-point hedonic scale to rate the pleasantness vs. unpleasantness for each odorant. Results were compared between two groups of subjects divided according to their own dental experience (fearful and non-fearful dental-care subjects). These showed that, in both groups, menthol was rated as pleasant and methyl methacrylate as very unpleasant, whereas eugenol was judged pleasant by non-fearful subjects but unpleasant by fearful subjects. Concerning autonomic analysis, only eugenol induced significantly different patterns of ANS responses between the two groups, with stronger variations for dentally fearful subjects, mainly observed through the electrodermal channel. These results suggest that eugenol can be responsible for different emotional states, depending on the unpleasantness of the subjects' dental experience. This seems to confirm the role of odors as elicitors of emotional memories and to support the possible influence of eugenol odor on the avoidance behavior of some subjects toward dental care.

Adult↗
PubMed1997

Autonomic nervous system response patterns specificity to basic emotions.

The aim of this study was to test the assumption that the autonomic nervous system responses to emotional stimuli are specific. A series of six slides was randomly presented to the subjects while six autonomic nervous system (ANS) parameters were recorded: skin conductance, skin potential, skin resistance, skin blood flow, skin temperature and instantaneous respiratory frequency. Each slide induced a basic emotion: happiness, surprise, anger, fear, sadness and disgust. Results have been first considered with reference to electrodermal responses (EDR) and secondly through thermo-vascular and respiratory variations. Classical as well as original indices were used to quantify autonomic responses. The six basic emotions were distinguished by Friedman variance analysis. Thus, ANS values corresponding to each emotion were compared two-by-two. EDR distinguished 13 emotion-pairs out of 15. 10 emotion-pairs were separated by skin resistance as well as skin conductance ohmic perturbation duration indices whereas conductance amplitude was only capable of distinguishing 7 emotion-pairs. Skin potential responses distinguished surprise and fear from sadness, and fear from disgust, according to their elementary pattern analysis in form and sign. Two-by-two comparisons of skin temperature, skin blood flow (estimated by the new non-oscillary duration index) and instantaneous respiratory frequency, enabled the distinction of 14 emotion-pairs out of 15. 9 emotion-pairs were distinguished by the non-oscillatory duration index values. Skin temperature was demonstrated to be different i.e. positive versus negative in response to anger and fear. The instantaneous respiratory frequency perturbation duration index was the only one capable of separating sadness from disgust. From the six ANS parameters study, different autonomic patterns were identified, each characterizing one of the six basic emotion used as inducing signals. No index alone, nor group of parameters (EDR and thermovascular for instance) were capable of distinguishing each emotion from another. However, electrodermal, thermo-vascular and respiratory responses taken as a whole, redundantly separated each emotion thus demonstrating the specificity of autonomic patterns.

Adult↗
PubMed1997

Basic emotions evoked by odorants: comparison between autonomic responses and self-evaluation.

The present study was designed to analyze the relationship between self-report and physiological expression of basic emotions (happiness, surprise, fear, sadness, disgust and anger) in response to odorants. 44 subjects inhaled five odorants: vanillin, menthol, eugenol, methyl methacrylate, and propionic acid. Six autonomic nervous systems (ANS) parameters were simultaneously recorded in real time and without interference: Skin Potential (SP), Skin Resistance (SR), Skin Temperature (ST), Skin Blood Flow (SBF), Instantaneous Respiratory Frequency (IRF) and Instantaneous Heart Rate (IHR). At the end of the recording, subjects were instructed i) to identify the odorants roughly II) to situate them on an 11-point hedonic scale from highly pleasant (0) to highly unpleasant (10); and iii) to define what type of basic emotion was evoked by each odorant. In this study, the expected affects were aroused in the subjects. Vanillin and menthol were rated pleasant, while methyl methacrylate and propionic acid were judged unpleasant. Eugenol was median in hedonic estimation. ANS evaluation (each autonomic pattern induced by an odorant was transcripted into a basic emotion) shows that pleasantly connoted odorants evoked mainly happiness and surprise, but that unpleasant ones induced mainly disgust and anger. Eugenol was associated with positive and negative affects. Comparison between conscious (verbal) and unconscious (ANS) emotions, reveals that these two estimations 1) were not significantly different as far as the two pleasant odorants were concerned, 2) showed a tendency to be significantly different for eugenol odorant which was variably scored on the hedonic axis, and 3) exhibited a significant difference for the two unpleasant odorants, for which the corresponding "verbal emotion" was mainly "disgust", while the most frequent ANS emotion was "anger". In conclusion, these results show quite a good correlation between verbal and ANS estimated basic emotions. The main difference concerns anger: while there is a high occurrence of this emotion revealed by the analysis of ANS responses, it does not appear to be easily expressed through the verbal channel.

Adult↗
PubMed1997

Odor hedonics: connection with emotional response estimated by autonomic parameters.

The aim of this paper is to analyse the relationship between self-report hedonic evaluations and the physiological expression of emotion in response to odorants. We try to solve the following questions: (1) Is it possible to find any experimental evidence that the sense of smell is linked with emotion? (2) What kind of odorants can be distinguished by autonomic analysis? (3) Is there a link between hedonics and autonomic information? The effects of odorants on the emotional process were estimated, in terms of autonomic nervous system (ANS) activity. Fifteen subjects inhaled five odorants as olfactory stimuli: lavender (LAV), ethyl acetoacetate (EAA), camphor (CAM), acetic acid (AA) and butyric acid (BA). After inhaling the odorant, subjects were requested to fill out an 11-point hedonic scale to rate its pleasantness versus unpleasantness. ANS parameters were as follows: two electrodermal responses, skin potential (SP) and resistance (SR); two thermovascular parameters, skin blood flow (SBF) and skin temperature (ST); and two cardiorespiratory parameters; instantaneous respiratory frequency (IRF) and instantaneous heart rate (IHR). Simultaneous recording of six parameters showed that specific autonomic patterns were associated with each odorant. An analysis of variance made it possible to differentiate among the five odorants. Two-by-two odorant comparisons for autonomic responses using Tukey's HSD multiple comparison test only permitted differentiation between pleasant odorants (LAV and EAA) and unpleasant (AA and BA) ones, but camphor was differentiated from both pleasant and unpleasant odorants. Each odorant elicited responses in the different parameters, yet subjects responded through their preferential channels; an average of two channels was used by each subject. These results when compared with those obtained with other senses (visual and auditory), did not evidence the postulated preferential link between olfaction and emotion. A strong link between hedonics and ANS response could be demonstrated when considering each subject and mainly through his/her preferential channel(s); conversely a weak correlation (SR duration excepted) was obtained between inter-subjects' hedonic evaluation. It seems that for a given population the autonomic response reflect the odor valence only through some parameters related to the main preferential channel(s) and thus the global autonomic pattern has to be considered.

Acetic Acid↗
PubMed1997

Impact of profile haemodialysis on intra-/extracellular fluid shifts and the release of vasoactive hormones in elderly patients on regular dialysis treatment.

In 15 patients with end-stage renal failure and proven coronary heart disease, profile haemodialysis with decreasing ultrafiltration rate and hyperionic, decreasing dialysate solute concentration was compared with conventional, extracorporeal bicarbonate haemodialysis (Na+D = 138 mmol/l). Body fluid distribution and the release of vasoactive hormones (plasma renin activity, aldosterone, norepinephrine, epinephrine, and atrial natriuretic peptide) were investigated. Haemodialysis with constant ultrafiltration rate and constant dialysate composition (A) was followed by two dialysis profiles: decreasing ultrafiltration rate (B) and additional hyperionic, decreasing dialysate sodium concentration (C). In all 15 patients, the dialysis procedures (A) - (C) were used for 2 weeks each with six sessions, the last being taken for investigation. Body fluid distribution was calculated. In patients with serum sodium above 136 mmol/l, the conventional dialysis (A) as well as the Uf profile (B) showed a net fluid shift from extracellular volume (ECV) to intracellular volume (ICV). Using the profile with hyperionic, decreasing Na+D (C), the reverse fluid shift with decreasing ICV was achieved not only in those with serum Na+ <136 mmol/l, but also in those with serum Na+ > or = 136 mmol/l. The release of vasoactive hormones decreased already at profile haemodialysis (B) compared with (A) and was further reduced in (C). These results would suggest, profile dialyses B and C to have less impact on the cardiovascular system in elderly patients assuming higher patient comfort compared with the standard dialysis procedure. A higher benefit was obtained in C compared with B, presumably due to the additional prevention of the ICV shift and plasma volume depletion in patients with initial serum sodium > or = 136 mmol/l using transiently hyperionic Na+D. These results show that in elderly patients, hyperionic profile haemodialysis (Na+D > Na+S) had less impact on cardiovascular regulation than conventional bicarbonate dialysis.

Aged↗