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Did J. Marion Sims deliberately addict his first fistula patients to opium?

American surgeon J. Marion Sims (1813-83) is regarded by many modern authors as a controversial figure because he carried out a series of experimental surgeries on enslaved African American women between 1846 and 1849 in an attempt to cure them of vesicovaginal fistulas, which they had all developed as a result of prolonged obstructed labor. He operated on one woman, Anarcha Westcott, thirty times before he successfully closed her fistula. Sims performed these fistula repair operations without benefit of anesthesia but gave these women substantial doses of opium afterwards. Several modern writers have alleged that Sims did this in order to addict them to the drug and thereby to enhance his control over them. This article examines the controversy surrounding Sims' use of postoperative opium in these enslaved surgical patients. The evidence suggests that although these women were probably tolerant to the doses of opium that he used, there is no evidence that he deliberately tried to addict them to this drug. Sims' use of postoperative opium appears to have been well supported by the therapeutic practices of his day, and the regimen that he used was enthusiastically supported by many contemporary surgeons.

Black or African American↗

Colony structure of a slavemaking ant. II. Frequency of slave raids and impact on the host population.

The parasite pressure exerted by the slavemaker ant Protomognathus americanus on its host species Leptothorax longispinosus was analyzed demographically and genetically. The origin of slaves found in colonies of the obligate slavemaker was examined with nuclear and mitochondrial DNA markers to make inferences about the frequency and severity of slave raids. Relatedness of enslaved L. longispinosus workers in the same nest was very low, and our data suggest that, on average, each slavemaker nest raids six host colonies per season. Therefore, the influence of slavemaker species on their hosts is much stronger than simple numerical ratios suggest. We also found that slave relatedness was higher in small than in large slavemaker nests; thus, larger nests wield a much stronger influence on the host. We estimated that in the study population, on average, a host nest has a 50% chance of being attacked by a slavemaker colony per year. Free-living Leptothorax colonies in the vicinity of slavemaker nests did not represent the source of slaves working in P. americanus colonies, which suggests that raided nests either do not survive or migrate after being raided. Colony composition and intranest relatedness of free-living L. longispinosus colonies differed markedly between areas with slavemakers and those that are parasite-free. In the presence of slavemakers, host colonies were less likely to be polygynous and had fewer workers and a higher relatedness among worker brood. Host nests with slavemaker neighbors allocated more resources into sexuals, possibly caused by these shifts in nest demography. Finally, enslaved Leptothorax workers in P. americanus nests appeared to be less efficient than their counterparts in free-living colonies. Thus, slavemakers exert a much stronger impact on their hosts than had previously been suspected and represent an unique system to study parasite-host coevolution.

Animals↗

The effect of fatigue on multifinger co-ordination in force production tasks in humans.

1. This study investigated the effects of fatigue, induced by production of maximal isometric force for 60 s with four fingers, upon indices of multifinger co-ordination. 2. Measurements of individual finger forces were performed during single- and multifinger maximal force production (maximal voluntary contraction, MVC) for two sites of force application, the middle of the distal or the middle of the proximal phalanxes. Two fatiguing exercises were used, involving force production at the distal phalanxes and at the proximal phalanxes. Fourteen subjects were tested. 3. The total force in four-finger tasks dropped by about 43 % when it was produced at the site involved in the fatiguing exercise. During force production at the other site, MVC dropped by 23 %. During single-finger MVC tests, force drop with fatigue was similar across all four fingers (about -25 % of their corresponding MVCs). 4. Force production by one finger was accompanied by involuntary force production by other fingers (enslaving). Enslaving remained unchanged by fatigue when measured during force generation at the site involved in the fatiguing exercise, but increased during force production at the other site. 5. The total MVC of four fingers acting in parallel was smaller than the sum of the MVCs of these fingers in single-finger tasks (force deficit). The force deficit increased with fatigue. Force-sharing patterns during four-finger tasks showed only minor changes under fatigue. 6. These results indicate that the effects of fatigue were not limited to changes in the force-generating capabilities of the muscles. In particular, fatigue could lead to a reorganisation at a neural level that defines commands to individual fingers.

Adult↗

Effects of age and gender on finger coordination in MVC and submaximal force-matching tasks.

The objective of the study is to examine the effects of age and gender on finger coordination. Twelve young (24 +/- 8 yr; 6 men and 6 women) and 12 elderly (75 +/- 5 yr; 6 men and 6 women) subjects performed single-finger maximal contraction [maximal voluntary contraction (MVC)], four-finger MVC, and four-finger ramp force production tasks by pressing on individual force transducers. A drop in the force of individual fingers during four-finger MVC tasks compared with single-finger MVC tasks (force deficit) was larger, whereas unintended force production by other fingers during single-finger MVC tasks (enslaving) was smaller, in elderly than in young subjects and in women than in men. Force deficit was smaller and enslaving was larger in subjects with higher peak force. During the ramp task, the difference between the variance of total force and the sum of variances of individual forces showed a logarithmic relation to the level of total force, across all subject groups. These findings suggest that indexes of finger coordination scale with force-generating capabilities across gender and age groups.

Adult↗

[Tobacco smoking--anthropological context of human dependence].

In the papers concerning the subject of prevention and treatment of addiction to tobacco smoking, the philosophical data on nature of man, his reason and freedom are unfairly disregarded. The anthropological description of the features constituting the human nature refers, above all, to reason, will, freedom, and to a lesser extent, instinct and imagination. In the analyses of addiction to tobacco smoking, the rational cognition and free will are of greatest significance. Values as well as freedom and good also play a role in counteracting the enslavement of man. The investigations of the essence of man indicate that even the deepest addiction does not change and does not destroy the reason and free will which are characteristic of a human being. It means that a person addicted to a habit always requires respect, compassion and hope in overcoming the enslavement. It touches the whole human being and should be treated integrally. Addiction is inherent to a man and not the human nature, tobacco smoking will always be contrary to reason and freedom of a human being and the whole mankind.

Anthropology↗

Nested Admixture During and After the Trans-Atlantic Slave Trade on the Island of São Tomé.

Human genetic admixture, involving the contact between two or more previously isolated populations, can be a complex process influenced by social dynamics. In this study, we aim to reconstruct complex admixture histories in São Tomé, an island in the Gulf of Guinea where the Portuguese established one of the first plantation-based slave societies. Since the 15th century, migration waves from Africa and Europe, slavery, marooning, and indentured labour led to profound demographic shifts and social stratification on the island. Examining 2.5 million SNPs newly genotyped in 96 São Toméans, we observed patterns of genetic differentiation that were more complex than those of other populations descended from enslaved Africans on either side of the Atlantic. Using local ancestry inference and Identical-by-Descent methods, we identified five genetic clusters in São Tomé and reconstructed shared ancestries between each cluster and 70 African and European population samples, including an extensive sample from the Cabo Verde archipelago. Our findings align with historical records, retracing the major slave trade routes and labour-driven migrations after the abolition of slavery. We also identified gene flow between recently admixed groups that were previously isolated on the island. We call this process, creating multiple layers of genetic ancestry in admixed genomes, nested admixture. We suggest that changing social structures in São Tomé transformed the genetic structure of its population and influenced the admixture process. This study demonstrates how successive admixture and isolation events during and after the Trans-Atlantic Slave Trade shaped extant genetic diversity patterns at local scale in Africa.

Humans↗

Photosynthetic eukaryotes unite: endosymbiosis connects the dots.

The photosynthetic organelle of algae and plants (the plastid) traces its origin to a primary endosymbiotic event in which a previously non-photosynthetic protist engulfed and enslaved a cyanobacterium. This eukaryote then gave rise to the red, green and glaucophyte algae. However, many algal lineages, such as the chlorophyll c-containing chromists, have a more complicated evolutionary history involving a secondary endosymbiotic event, in which a protist engulfed an existing eukaryotic alga (in this case, a red alga). Chromists such as diatoms and kelps then rose to great importance in aquatic habitats. Another algal group, the dinoflagellates, has undergone tertiary (engulfment of a secondary plastid) and even quaternary endosymbioses. In this review, we examine algal diversity and show endosymbiosis to be a major force in algal evolution. This area of research has advanced rapidly and long-standing issues such as the chromalveolate hypothesis and the extent of endosymbiotic gene transfer have recently been clarified.

Animals↗

The poor, the Black, and the marginalized as the source of cadavers in United States anatomical education.

When the practice of hands-on anatomical dissection became popular in United States medical education in the late 18th and early 19th centuries, demand for cadavers exceeded the supply. Slave bodies and thefts by grave robbers met this demand. Members of the public were aware that graves were being robbed and countered with various protective measures. Since the deterrence of grave robbing took time and money, those elements of society who were least economically and socially advantaged were the most vulnerable. Enslaved and free African Americans, immigrants, and the poor were frequently the target of grave robbing. The politically powerful tolerated this behavior except when it affected their own burial sites. Slave owners sold the bodies of their deceased chattel to medical schools for anatomic dissection. Stories of the "night doctors" buying and stealing bodies became part of African American folklore traditions. The physical and documentary evidence demonstrates the disproportionate use of the bodies of the poor, the Black, and the marginalized in furthering the medical education of white elites.

Anatomy↗

Learning multi-finger synergies: an uncontrolled manifold analysis.

We used the uncontrolled manifold (UCM) approach to study the synergy formation during learning an unusual multi-finger task. The subjects produced accurate force ramps with challenging sets of four fingers (two per hand). We tested hypotheses on stabilization of the contributions of subsets of effectors to the task force ( F(TASK)) and to the moment in the frontal plane (force-stabilization and moment-stabilization, respectively). Force signals were used to compute magnitudes of hypothetical independent signals, modes. The variance of the mode magnitudes across repetitions of the task was partitioned into two components, within the UCM ( V(UCM)), which did not affect the average value of a selected performance variable (force or moment), and orthogonal to the UCM ( V(ORT)), which affected the variable. Prior to practice, subjects showed high error indices and failed to show stabilization of each hand's contribution to F(TASK) ( V(ORT)> or = V(UCM)), while the pronation-supination moment was stabilized by the fingers of each hand ( V(ORT)< V(UCM)). The total forces produced by each of the two hands showed negative covariation across trials, which supported the force-stabilization hypothesis but not moment-stabilization hypothesis. Both force-stabilization and moment-stabilization hypotheses were supported by analysis of mode magnitudes to all eight fingers. Over 2 days of practice, the performance of the subjects improved considerably. This was accompanied by the emergence of within-a-hand force-stabilization for each of the two hands without deterioration of moment-stabilization. Quantitatively better within-a-hand force-stabilization was seen in male subjects as compared to females throughout the course of the experiment. Force-stabilization by all eight fingers improved quantitatively with practice. Practice also resulted in higher finger forces in maximal force production (MVC) trials and higher forces produced by unintended fingers in single-finger MVC trials (higher enslaving). We conclude that the UCM approach allows quantifying changes in the coordination of effectors during practice, and offers insights into the microstructure of this coordination with respect to different performance variables and different subsets of effectors. The approach can be used to test whether new synergies emerge in the process of practice.

Adult↗

Control of finger force direction in the flexion-extension plane.

We have examined the interaction among individual finger forces in tasks that required the production of the total force by a subset of fingers in a particular direction in the flexion-extension plane. Nine subjects produced fingertip forces in a prescribed direction with a maximum voluntary contraction (MVC) effort and held the peak force for two seconds. Six finger combinations were tested, four single-finger tasks--Index (I), Middle (M), Ring (R) and Little (L)--one two-digit task (IM), and one four-digit task (IMRL). The subjects were asked to generate the finger forces in two directions, 0 degrees (perpendicular to the surface of the transducer) and 15 degrees toward the palm. In all task conditions, there were two experimental sessions, with and without visual feedback on the task force vector. The main findings were: 1. The target direction significantly affected the constant error (CE) but not the variable error (VE) while removal of the feedback resulted in an increase in VE. 2. The direction of the forces produced by fingers that were not explicitly required to produce force (enslaved fingers) depended on the target direction. 3. In multi-finger tasks, the individual fingers produced force in directions that could differ significantly from the target direction, while the resultant force pointed in the target direction. There was a negative co-variation among the deviations of the directions of the individual finger forces from the target direction. If a finger force vector deviated from the target, another finger force vector was likely to deviate in the opposite direction. We conclude that a multi-finger synergy is involved in the control of the finger force direction.

Adult↗

Hand digit control in children: age-related changes in hand digit force interactions during maximum flexion and extension force production tasks.

We studied the finger interactions during maximum voluntary force (MVF) production in flexion and extension in children and adults. The goal of this study was to investigate the age-related changes and flexion-extension differences of MVF and finger interaction indices, such as finger inter-dependency (force enslaving (FE): unintended finger forces produced by non-instructed fingers during force production of an instructed finger), force sharing (FS; percent contributions of individual finger forces to the total force at four-finger MVF), and force deficit (FD; force difference between single-finger MVF and the force of the same finger at four-finger MVF). Twenty-five right-handed children of 6-10 years of age and 25 adults of 20-24 years of age participated as subjects in this study (five subjects at each age). During the experiments, the subjects had their forearms secured in armrests. The subjects inserted the distal phalanges of the right hand into C-shaped aluminum thimbles affixed to small force sensors with 200 of flexion about the metacarpophalangeal (MCP) joint. The subjects were instructed to produce their maximum isometric force with a single finger or all four fingers in flexion or extension. In order to examine the effects of muscle-force relationship on MVF and other digit interaction indices, six subjects were randomly selected from the group of 25 adult subjects and asked to perform the same experimental protocol described above. However, the MCP joint was at 800 of flexion. The results from the 20' of MCP joint flexion showed that (1) MVF increased and finger inter-dependency decreased with children's age, (2) the increasing and decreasing absolute slopes (N/year) from regression analysis were steeper in flexion than extension while the relative slopes (%/year) with respect to adults' maximum finger forces were higher in extension than flexion, (3) the larger MVF, FE, and FD were found in flexion than in extension, (4) the finger FS was very similar in children and adults, (5) the FS pattern of individual fingers was different for flexion and extension, and (6) the differences between flexion and extension found at 20 degrees MCP joint conditions were also valid at 80 degrees MCP joint conditions. We conclude that (a) the finger strength and independency increase from 6 to 10 years of age, and the increasing trends are more evident in flexion than in extension as indexed by the absolute slopes, (b) the finger strength and finger independency is greater in flexion than in extension, and (c) the sharing pattern in children appears to develop before 6 years of age or it is an inherent property of the hand neuromusculoskletal system. One noteworthy observation, which requires further investigation, was that FE was slightly smaller in the 80 degrees condition than in the 20 degrees condition for flexion, but larger for extension for all subjects. This may be interpreted as a greater FE when flexor or extensor muscles are stretched.

Adult↗

The effect of a fatiguing exercise by the index finger on single- and multi-finger force production tasks.

We studied the effects of fatigue, induced by a 60-s maximal isometric force production with the index finger, on multi-finger coordination and force production by the other fingers of the hand. Finger forces were measured during single- and multi-finger maximal voluntary force production (MVC) at two sites, the middle of the distal or the middle of the proximal phalanges. Two fatiguing exercises involving force production by the index finger were used, one at the distal phalanx and the other at the proximal phalanx. The MVC of the index finger dropped by about 33% when it was produced at the site involved in the fatiguing exercise. In addition, large transfer effects of fatigue were observed across sites of force application and across fingers. Force deficit increased under fatigue, especially due to a drop in the recruitment of the index finger. Under fatigue, the index finger was less enslaved during force production by other fingers. During multi-finger tasks, the percentage of total force produced by the index finger was significantly reduced after the fatiguing exercise. The principle of minimization of secondary moments was violated under fatigue. We suggest that the most impaired (fatigued) finger shows less interaction with other fingers or, in other words, is being progressively removed from the multi-finger synergy. Some of the observed changes in finger coordination suggest effects of fatigue at a central (neural) level.

Adult↗

A mode hypothesis for finger interaction during multi-finger force-production tasks.

Finger forces are known to change involuntarily during multi-finger force-production tasks, even when a finger's involvement in a task is not consciously changed (the enslaving effect). Furthermore, during maximal force-production (MVC) tests, the force produced by a given finger in a multi-finger task is smaller than the force generated by this finger in its single-finger MVC test (the force-deficit effect). A set of hypothetical control variables - modes - is introduced. Modes can be estimated based on individual finger forces during single-finger MVC tests. We show that a simple formal model based on modes with only one free parameter accounts for finger forces during a variety of multi-finger MVC tests. The free parameter accounts for the force-deficit effect, and its value depends only on the number of explicitly involved fingers. This approach offers a simple framework for the analysis of finger interaction during multi-finger actions.

Biomechanical Phenomena↗

Episodes of low-dimensional self-organized dynamics from electroencephalographic alpha-signals.

Self-organized neuronal dynamics revealed by cortical alpha-rhythms occur as episodes, which are rarely observed without extraction of the alpha-band from the other spectral components. Three episodes of an unusually long duration of 10 s, two with no signal processing after data recording at the clinic, are described and show evidence of low-dimensional alpha-dynamics. The evidence is gained from an analysis of scaled structures appearing in families of slope curves of the correlation integrals and is checked against time reparametrization. The data for the two unprocessed 10-s episodes are used for a test of the methodology, as well as a re-examination of the adequacy of the model of an autonomous dynamic system in steady state and of the concept of an attractor in brain dynamics investigations. Striking evidence for the model's inadequacy is provided by the episode of subject S1. In this example five consecutive overlapping 6-s sections do show evidence for low-dimensional dynamics, whereas the 10-s section containing those sections does not. The episode of subject 1 provides an example of alpha-activity which may involve self-organized dynamics extending down to low frequencies. The system (the neuronal network) showing episodes of attractor-ruled dynamics, under conditions of blurred and smoothly fading out evidence that it stays on an attractor, is designated as being ruled by a 'shadow-attractor'. This concept is compared with that of a 'quasi-attractor' introduced by H. Haken in studies of physiological systems. One possible mechanism for the observed episodes is proposed, based on a time-dependent number of enslaved sub-systems.

Adult↗

One, two, three: nature's tool box for building plastids.

Plastids were acquired by different strategies. While in primary endosymbiosis a cyanobacterium was engulfed by a eukaryotic cell and reduced to a plastid, secondarily evolved plastids trace back to an enslaved red or green alga. Nature's recent playground in merging organisms together can be detected in dinoflagellates, which developed additional strategies to acquire their solar-powered factory. Some dinoflagellates possess secondary plastids, other species temporarily use "stolen plastids" of different origin. The highest degree of complexity is reached in dinoflagellates with chloroplasts originating from the uptake of a photosynthetic symbiont with secondary plastids, a process termed tertiary endosymbiosis.

Animals↗

Effects of motor imagery on finger force responses to transcranial magnetic stimulation.

The purpose of this study was to investigate whether characteristics of finger interaction seen in voluntary finger force production tasks could also be observed during motor imagery. Transcranial magnetic stimulation (TMS) was applied over the contralateral M1 hand area. Three conditions were tested in eight young healthy volunteers: At rest, during motor imagery of maximal force production by the index finger (ImIn), and during motor imagery of maximal force production by all four fingers simultaneously (ImAll). We obtained measures of motor threshold (MT), motor-evoked potentials (MEP) from the contralateral flexor digitorium superficialis, and TMS-induced forces from individual fingers. Increased MEP and decreased MT during motor imagery tasks suggested enhanced excitability of structures involved in the generation of TMS-induced responses. TMS-induced forces were larger during motor imagery tasks than at rest. This effect was present, albeit significantly smaller, in the middle, ring, and little fingers during ImIn as compared to ImAll. This finding has been interpreted as a correlate of the phenomenon of unintended finger force production (enslaving). The motor imagery effect on finger forces evoked by TMS was significantly larger during ImIn (4% MVC) than during ImAll (2.8% MVC) tasks, corresponding to the phenomenon of force deficit. These results provide direct evidence of the neural origin of the main phenomena of finger interaction. Furthermore, the similarities between characteristics of finger interaction during motor imagery and during voluntary movement suggest the involvement of similar neural structures (including M1).

Adult↗

Enzymes of type II fatty acid synthesis and apicoplast differentiation and division in Eimeria tenella.

Apicomplexan parasites, Eimeria tenella, Plasmodium spp. and Toxoplasma gondii, possess a homologous plastid-like organelle termed the apicoplast, derived from the endosymbiotic enslavement of a photosynthetic alga. However, currently no eimerian nuclear encoded apicoplast targeted proteins have been identified, unlike in Plasmodium spp. and T. gondii. In this study, we demonstrate that nuclear encoded enoyl reductase of E. tenella (EtENR) has a predicted N-terminal bipartite transit sequence, typical of apicoplast-targeted proteins. Using a combination of immunocytochemistry and EM we demonstrate that this fatty acid biosynthesis protein is located in the apicoplast of E. tenella. Using the EtENR as a tool to mark apicoplast development during the Eimeria lifecycle, we demonstrate that nuclear and apicoplast division appear to be independent events, both organelles dividing prior to daughter cell formation, with each daughter cell possessing one to four apicoplasts. We believe this is the first report of multiple apicoplasts present in the infectious stage of an apicomplexan parasite. Furthermore, the microgametes lacked an identifiable apicoplast consistent with maternal inheritance via the macrogamete. It was found that the size of the organelle and the abundance of EtENR varied with developmental stage of the E. tenella lifecycle. The high levels of EtENR protein observed during asexual development and macrogametogony is potentially associated with the increased synthesis of fatty acids required for the rapid formation of numerous merozoites and for the extracellular development and survival of the oocyst. Taken together the data demonstrate that the E. tenella apicoplast participates in type II fatty acid biosynthesis with increased expression of ENR during parasite growth. Apicoplast division results in the simultaneous formation of multiple fragments. The division mechanism is unknown, but is independent of nuclear division and occurs prior to daughter formation.

Amino Acid Sequence↗

Synergetics of brain function.

Several brain functions such as movement coordination and visual perception are analysed in terms of synergetics, an interdisciplinary field of research dealing with spontaneous pattern formation. Accordingly, the brain is conceived as a self-organizing system operating close to instabilities where its activities are governed by collective variables, the order parameters, that enslave the individual parts, i.e., the neurons. In this approach, emphasis is laid on qualitative changes of behavioral and neuronal activities. These concepts are substantiated by detailed experimental and theoretical studies of the coordination of finger movements by direct observation of their changes and MEG measurements. In its main part, this paper deals with visual pattern recognition. Using general properties of order parameters, at the phenomenological level bistability, hysteresis and oscillations of visual perception can be modelled. Then, at the microscopic level, a network of pulse-coupled neurons is treated, where the dynamics of the dendritic currents as well as the axonic pulses (spikes) are taken into account. Both pulse-synchronization as well as pattern recognition are treated. In the high pulse frequency limit the attractor network of the synergetic computer is recovered. In the next step, the concept of quasi-attractors is mathematically formulated where due to saturation of attention attractors are closed. Depending on incoming signals, the visual system thus wanders from quasi-attractor to quasi-attractor. The paper includes an interpretation of consciousness in terms of order parameters as well as a discussion on linearity versus nonlinearity, the binding problem, and the psychological "present".

Animals↗