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At least 235 records · Page 13Linked to original sources

Glucose metabolism in transdifferentiating and glucose-blocked cultures of chick embryo neuroretinal cells: an inverse relationship between glycogen and delta-crystallin accumulation.

Chick embryo neuroretinal (NR) cells transdifferentiate extensively into lens when cultured for several weeks in low-glucose (FH) medium, but fail to do so when high levels of supplementary glucose (FHG) are present. We show here that most aspects of glucose metabolism are promoted in high-glucose cultures, including lactate dehydrogenase (LDH) and glucose-6-phosphate dehydrogenase (G-6-PDH) activities, 2-deoxyglucose uptake, pentose shunt activity and lactate production. Continuous supplementation of high-glucose cultures with low levels of ouabain (FHGO) significantly lowers 2-deoxyglucose uptake, from FHG levels down towards FH levels, especially during the early stages of NR culture. Much later, extensive transdifferentiation into lentoids (with concomitant delta-crystallin accumulation) occurs in these FHGO cultures, which thus resemble FH rather than FHG controls. Another parameter strongly affected by ambient glucose levels is the accumulation of glycogen. Both glycogen itself and glycogen synthetase activity increase steadily in FHG cultures, but decrease slightly under FH conditions. Glycogen accumulation in FHG cultures is largely confined to glial-like cells, particularly those underlying clusters of neurones. Other studies have shown that glial differentiation in vitro is promoted by histotypic interactions with retinal neurones. Thus high glucose may act in concert with neuronal influences to stimulate or stabilize the normal differentiation of retinal glial cells, whose characteristic features in vivo include glycogen synthesis and storage. Furthermore, we show that supplementation of high-glucose cultures with forskolin or dibutyryl cyclic AMP (both of which promote glycogenolysis) results in a slower rate of glycogen accumulation and in enhanced transdifferentiation into lens. In both respects, the forskolin- and dibutyryl cAMP-supplemented FHG cultures are intermediate between FH and FHG controls. Thus the enhancement of normal glial differentiation in NR cultures by high glucose may inhibit or preclude subsequent transdifferentiation into lens.

Animals↗

Bronchocentric granulomatosis: a complication of allergic bronchopulmonary aspergillosis.

Hypersensitivity to the fungal antigens of Aspergillus fumigatus may result in a spectrum of immune injury collectively known as allergic bronchopulmonary aspergillosis (ABPA). This report describes a 14-yr-old boy who presented clinical findings consistent with ABPA,including a history of asthma, blood eosinophilia, serum precipitins, and IgE antibodies to Aspergillus fumigatus. Sputum Aspergillus, pulmonary infiltrates, and dual types I and III skin reactions to Aspergillus fumigatus were observed also. Pathology of the resected right upper lobe revealed severe bronchial destruction with the findings of bronchocentric granulomatosis. Noninvasive septate fungal hyphae compatible with Aspergillus were identified. Cultures from sputum and surgical specimens grew Aspergillus and Mycobacterium intracellulare avium. The PPD-B (purified protein derivative-Batty) intradermal skin test produced a 6 mm induration (PPD-S was negative). The patient's condition has been well controlled with prednisone and several antituberculous drugs. In addition, inflammatory and immunologic parameters have begun to return to normal. The relationship between ABa and the atypical mycobacterial infection is not clear. The association of ABPA with the severe bronchial destruction seen in bronchocentric granulomatosis is emphasized to alert physicans to this serious sequelae of ABa seen in the asthmatic.

Adolescent↗

The effect of brain function on coherence patterns in the bipolar EEG.

Studies of the functional organization of the brain based on measurements of coherence in the EEG have, in the past, suffered from a methodological defect which has made interpretation of the results difficult. The effect involved is the use of an active common reference for the recording of the EEG. As a consequence, inferences related to the functional connectivity of brain between the non-referential sites using coherence have probably been wrong. To avoid the problem with the common reference, we have used bipolar derivations of the EEG and used measurements of coherence to reflect synchrony not between individual sites but between regions of the brain. The EEGs in a population of normal volunteers were examined with respect to coherence. Changes in the patterning of coherence were induced by utilizing EEGs from the volunteers during 3 different functional brain states. The first of these was the resting state, the second the verbal motor state and the third, the spatial motor state. The stepwise discriminant analysis method was used to study differences in the patterning of coherences in the 3 states. The results show that the spatial motor state was the most distinct in this regard amongst the 3 states. They results also interpreted as indicating that changes in the patterning of coherence from that in the resting state consisted of both functionally specific and functionally non-specific components.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Neurophysiological and neuropsychological study of two cases of multiple personality syndrome and comparison with chronic hysteria.

Two cases of multiple personality were studied neurophysiologically and neuropsychologically. Bilateral frontal (Right greater than Left) and left temporal dysfunction was present in both cases, on neuropsychological indicators. Both cases on EEG analysis, were in a state of relative left hemisphere activation, across all cerebral regions and task conditions. The one case who was cured with hypnotherapy, after recovery showed normal left hemisphere functions neuropsychologically but remained in a state of relative left hemisphere activation electrophysiologically. This is in contrast to women with chronic hysteria who exhibit relative right hemisphere activation in all regions and across all conditions. Both patients were unmedicated throughout. A neurophysiological model to account for these findings is presented.

Adult↗

Quantitative EEG studies of pedophilia.

Ninety six pedophiles, whose sexual orientation was confirmed by phallometric response to sexual stimuli, were investigated with quantitative EEG and compared to age- and sex-matched healthy controls. The EEG analysis showed a pattern of increased frontal delta, theta and alpha power (especially during verbal processing) and a pattern of reduced interhemispheric and increased intrahemispheric-interhemispheric coherence, right and left (only during verbal processing), an effect that was restricted to those who showed maximal erotic arousal for sexual partners aged 6-12 years. These findings will be discussed in the context of recent studies which suggest that sexual deviations in the male relate to altered dominant hemispheric functions with disruption of frontal interhemispheric relationships.

Brain↗

Statistical quantitative EEG studies of depression, mania, schizophrenia and normals.

The EEG characteristics of 63 depressive psychotics, 75 manics and 53 schizophrenic patients, consecutive admissions satisfying research criteria, are presented. Statistical comparisons between the psychotic groups and of each psychotic group against 60 normal controls (all dextral) were undertaken for power, coherence and phase characteristics in the 8-13 Hz frequency band. The characteristic EEG-myogenic power spectra for frequencies up to 60 Hz, expressed as the log of the right/left parietal and temporal power ratios for the four groups are also graphically displayed. The results suggest the presence of increasing disorganization of the right hemisphere (least in depression, intermediate in mania and maximal in schizophrenia) together with left hemisphere disorganization (in both mania and schizophrenia; again maximal in schizophrenia).

Adolescent↗

Dimensional analysis of the human EEG and intelligence.

The purpose of this study was the determination of the relationship between the dimensional complexity of the electroencephalogam (EEG) and the level of intelligence in humans. In two experiments 34 male subjects were divided into two groups, with high and low levels of intelligence (as measured by the intelligence quotient (IQ)). During a resting phase and various mental imagery conditions the EEG was recorded from several scalp sites. Nonlinear analysis, based on the theory of deterministic chaos, revealed that subjects with high IQs demonstrate higher dimensional complexity of the EEG attractors than subjects with low IQs only during resting conditions. During performance of the imagery tasks the less intelligent subjects increase the complexity of electrical brain dynamics such that IQ-dependency vanishes. The gross (mass) neuronal manifestation of general intelligence seems to depend on task conditions and may be related to the individual brain dynamics only when no specific task is present.

Adult↗

Cortical reorganization in human amputees and mislocalization of painful stimuli to the phantom limb.

In human arm amputees, a significant relationship was found between the amount of reorganization in the primary somato-sensory cortex, and the amount of body surface from which painful stimuli evoked sensations that were perceived to be emanating from the now missing extremity, i.e. the phantom limb. This mislocalization could be evoked almost equally from stimulation of either side of the body. Based on these findings obtained by magnetic source imaging and psychophysical testing in eight amputees, it is concluded that the extent of the generally known cortical reorganization contralateral to the amputation is an indicator of more widespread plastic changes in the brain involving bilateral pathways.

Adult↗

Efficacy of EMG biofeedback, pseudotherapy, and conventional medical treatment for chronic rheumatic back pain.

Twenty-four patients suffering from chronic rheumatic back pain were treated with EMG biofeedback, a credible pseudotherapy, or conventional medical treatment alone during a 4 week inpatient stay at a Rheumatology Clinic. At the end of the treatment phase and at the 4 month followup the patients in the biofeedback group showed significant improvements in the duration, intensity, and quality of their back pain as well as their EMG levels, negative self-statements, and utilization of the health care system. In contrast, the pseudotherapy group showed minimal, but non-significant improvements, and the medically treated group remained unchanged.

Adult↗

Etiological theories and treatments for chronic back pain. II. Psychological models and interventions.

This is the second part of an extended review of the etiology and treatment of chronic back pain (CBP). The first paper dealt with somatic factors and interventions, this paper will examine psychological theories on the etiology of CBP and psychological treatments for CBP. Finally common problems of both the somatic and the psychological approaches will be discussed and suggestions for treatment and research will be made.

Back Pain↗

Etiological theories and treatments for chronic back pain. I. Somatic models and interventions.

This is the first part of an extended review of the etiology and treatment of chronic back pain (CBP). This paper will address the pathophysiology of CBP, the somatic conceptualizations that have been developed, and the treatment modalities that have been employed to alleviate the symptoms. The adequacy of the different models and treatments will be critically examined. The second paper in this set will examine psychological models and interventions. Common problems to both somatic and psychological approaches will be discussed at the close of the second paper.

Adult↗

Long-term efficacy of EMG biofeedback for chronic rheumatic back pain.

Short-term effects of EMG biofeedback for chronic rheumatic back pain have been documented, however, the long-term efficacy of this treatment modality has not yet been established. Twenty-two patients of an original sample of 24 patients who participated in a treatment outcome study [6] were followed up 2.5 years after they had been treated with either EMG biofeedback, pseudotherapy, or conventional medical treatment alone. The results indicate that patients treated with EMG biofeedback maintained beneficial effects and differ significantly from the control groups both on behavioral and cognitive responses to the pain, but not global pain intensity ratings. These data support the long-term utility of biofeedback for chronic rheumatic back pain.

Adult↗

Pain and families. I. Etiology, maintenance, and psychosocial impact.

This is the first part of a two-part extended review on the interdependency between chronic pain and families. This paper will address the role of the family in the etiology and maintenance of chronic pain and will describe the reciprocal impact of chronic pain on families. Different conceptualizations of the role of the family and the available empirical evidence related to 3 central questions, namely, 'do families play an etiological role in chronic pain?,' 'does the family maintain the chronic pain problem?,' and 'is there a negative impact of chronic pain on the family?' will be critically examined. The second, companion paper will address the issue of the inclusion of family members in the assessment and treatment of chronic pain. Finally, recommendations for future research will be made.

Adaptation, Psychological↗

Pain and families. II. Assessment and treatment.

This is the second part of an extended review on pain and families. The first paper dealt with the role of the family in the etiology and maintenance of chronic pain and discussed the impact of chronic pain on families. The paper will examine the role of the family in the assessment and treatment of chronic pain. Finally, problems of the theoretical models and empirical studies reviewed will be discussed and suggestions for future research will be presented.

Adaptation, Psychological↗

Pain greater than pain behaviors: the utility and limitations of the pain behavior construct.

A great deal of attention has been given to the importance of learning factors in communications of pain and suffering--pain behaviors. The concept of pain behaviors has served a heuristic function, however, there remain a number of important questions to be answered regarding the assessment and conceptual limitations of the construct. These concerns and questions must be acknowledged if the construct is to be of use in enhancing our understanding of chronic pain syndromes and to be employed in treatment. Current conceptualizations of pain behaviors are examined and methods of assessing pain behaviors are evaluated. The validity and utility of the construct and its limitations are discussed. It is concluded that failure to consider psychosocial, psychophysiological, and medical-physical factors may lead to an inadequate understanding of the patient and results in inappropriate treatment interventions. Suggestions for refined understanding of the scope of the construct are provided.

Chronic Disease↗

Relationship of pain impact and significant other reinforcement of pain behaviors: the mediating role of gender, marital status and marital satisfaction.

The operant perspective of chronic pain emphasizes the important role of reinforcement contingencies in the maintenance of pain behaviors and the experience of pain. Patients' 'significant others' are viewed as primary reinforcing agents. The relationship between pain intensity, interference, and responses by significant others in maritally distressed, maritally satisfied, and unmarried samples of male and female pain patients and their significant others was examined in this study. Results revealed that only for married male patients significant other responses explained significant proportions of the variance in the impact of pain. Significant other responses failed to explain significant proportions of the variance for male patients living with non-married significant others. By way of contrast, for female patients pain impact and reinforcement variables were less highly associated in the married as compared to the unmarried patients. For both males and females, there were significantly higher correlations between significant other responses and pain impact levels for the maritally satisfied patients. These results provide qualified support for the operant formulation of the importance of reinforcement of pain behaviors by significant others, however, these responses appear to be dependent upon gender, marital status, and marital satisfaction. Thus, clinicians need to give greater attention to these variables when designing treatment plans.

Adult↗

Stress-related electromyographic responses in patients with chronic temporomandibular pain.

Surface electromyographic (EMG) recordings from the right and left masseter and the left biceps muscle during stress and non-stress imagery were obtained from patients with temporomandibular myofascial pain and dysfunction syndrome (MPDS), temporomandibular joint disorder (TMJD), chronic low back pain (CBP) and healthy controls (HC). Both the MPDS and the TMJD groups displayed significantly more masseter EMG reactivity to the stressful imagery than the CBP and HC groups. The 2 dental groups did not differ significantly from each other. The MPDS patients indicated more life stress and gave higher aversiveness ratings during the experiment. These findings are discussed with respect to the validity of the TMJD and MPDS distinction.

Adolescent↗