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Factors of the langugage of pain in patient and volunteer groups.

An empirical determination of the nature and minimum number of dimension necessary to describe responses to the McGill Pain Questionnaire, and a comparison of groups, experiencing clinical or experimentally induced pain, on the dimensions were carried out. Eighty-five patients referred to a low back pain diagnostic clinic and groups of 129 volunteer students exposed to electric shock to pain threshold and pain tolerance levels described their pain using the McGill Pain Questionnaire's descriptive words. An incomplete principle component factor analysis of subjects' ratings suggested that 5 factors should be retained. These factors were judged to reflect: (I) immediated anxiety, (II) perception of harm, (III) somesthetic pressure, (IV) cutaneous sensitivity, and (V) sensory information. Canonical Analysis of Variance and univariate comparisons of back pain, threshold, and tolerance groups on these dimensions were conducted and implications for clinical and laboratory research discussed.

Adult↗

Separate forms of pathology in the cochlea of congenitally deaf white cats.

Congenital deafness due to cochlear pathology can have an immediate or progressive onset. The timing of this onset could have a significant impact on the development of structures in the central auditory system, depending on the animal's hearing status during its critical period. In order to determine whether cats in our deaf white cat colony suffered from progressive hearing loss, they were tested repeatedly in 30-day intervals using standard auditory evoked brainstem response (ABR) methodology. ABR thresholds did not change over time, indicating that deafness in our colony was not progressive. Moreover, different forms of cochlear pathology were associated with deafness. One form (67% of the deaf ears) had a collapsed Reissner's membrane that obliterated the scala media, resembling what is called the Scheibe deformity in humans. A second form (18%) exhibited excessive epithelial growth within the bony labyrinth. A third form (15%) combined excessive epithelial growth in the apex and a collapsed Reissner's membrane in the base. Cochleae having an abnormally thin tectorial membrane and an outward bulging Reissner's membrane were associated with elevated thresholds (poor hearing).

Aging↗

The effects of quinine on cochlear nerve fibre activity in the guinea pig.

The effect of quinine on single cochlear nerve fibre activity (n = 38) was measured in four pigmented guinea pigs, which were given 10-30 mg/kg of quinine intravenously. The frequency tuning curves of these fibres exhibited significant increases in the thresholds of both 'tip' and 'tails' regions of the frequency tuning curve, but these changes did not appear to be accompanied by significant changes in tuning, as measured by the Q'10'dB. In comparison with control fibres (n = 178) from 13 untreated animals, significant changes in the proportion of low:high spontaneous rates (SR) were also seen. Using a boundary criterion of 25 sp/s, this rate changed from 26:74% to 47:53% in control and quinine-poisoned fibres, respectively. Independent of changes in the spontaneous rate, significant increases in the mean absolute refractory period from 0.85 to 1 ms were measured following quinine administration. The absence of a significant effect on fibre tuning whilst threshold was elevated indicates that quinine does not affect the integrity of the cochlear amplifier, though appears to affect cochlear sensitivity.

Acoustic Stimulation↗

Calcium transients in dendrites of neocortical neurons evoked by single subthreshold excitatory postsynaptic potentials via low-voltage-activated calcium channels.

Simultaneous recordings of membrane voltage and concentration of intracellular Ca2+ ([Ca2+]i) were made in apical dendrites of layer 5 pyramidal cells of rat neocortex after filling dendrites with the fluorescent Ca2+ indicator Calcium Green-1. Subthreshold excitatory postsynaptic potentials (EP-SPs), mediated by the activation of glutamate receptor channels, caused a brief increase in dendritic [Ca2+]i. This rise in dendritic [Ca2+]i was mediated by the opening of low-voltage-activated Ca2+ channels in the dendritic membrane. The results provide direct evidence that dendrites do not function as passive cables even at low-frequency synaptic activity; rather, a single subthreshold EPSP changes the dendritic membrane conductance by opening Ca2+ channels and generating a [Ca2+]i transient that may propagate towards the soma. The activation of these Ca2+ channels at a low-voltage threshold is likely to influence the way in which dendritic EPSPs contribute to the electrical activity of the neuron.

Animals↗

An anticipated threshold technique for measuring contrast sensitivity.

A new psychophysical procedure for assessing contrast sensitivity rapidly and reliably is reported. The technique consists of increasing the contrast of a conventional sine wave grating according to the parameters set in a computer implemented algorithm. During the first half of a trial, the contrast increases quickly to a point just below an expected threshold, and in the second stage the contrast increases slowly until a threshold is reached. Details and advantages of the algorithm are presented as well as a comparison of data generated by this and other techniques.

Computers↗

The detection of in vitro produced periodontal bone lesions by conventional radiography and photographic subtraction radiography using observers and quantitative digital subtraction radiography.

Changes in the periodontium produced by removal of bone cylinders at one interdental site of a dry human mandible, were recorded radiographically. These artificial lesions had diameters of 0.3 mm increasing to 1.4 mm in steps of 0.1 mm. Radiographs were obtained using 3 different X-ray tube potentials and 3 different amounts of radiation. These 9 exposure variables resulted in 9 series of radiographs from the artificial lesions. Observers were asked to determine the presence or absence of these periodontal bone lesions on conventional radiographs and on photographically subtracted images. The images were also evaluated by a quantitative digital subtraction technique. This study showed that the smallest periodontal bone changes were detected with the quantitative digital subtraction technique compared to the other methods using observers. On photographically subtracted images, smaller bone changes were detected by the observers than on conventional radiographs. Only the detection threshold of the quantitative digital subtraction technique was influenced by the 2 exposure factors: kVp and mAs.

Alveolar Process↗

Large change in voltage at phase reversal improves biphasic defibrillation thresholds. Parallel-series mode switching.

BACKGROUND: Multiple factors contribute to an improved defibrillation threshold of biphasic shocks. The leading-edge voltage of the second phase may be an important factor in reducing the defibrillation threshold. METHODS AND RESULTS: We tested two experimental biphasic waveforms with large voltage changes at phase reversal. The phase 2 leading-edge voltage was twice the phase 1 trailing-edge voltage. This large voltage change was achieved by switching two capacitors from parallel to series mode at phase reversal. Two capacitors were tested (60/15 microfarads [microF] and 90/22.5 microF) and compared with two control biphasic waveforms for which the phase 1 trailing-edge voltage equaled the phase 2 leading-edge voltage. The control waveforms were incorporated into clinical (135/135 microF) or investigational devices (90/90 microF). Defibrillation threshold parameters were evaluated in eight anesthetized pigs by use of a nonthoracotomy transvenous lead to a can electrode system. The stored energy at the defibrillation threshold (ion joules) was 8.2 +/- 1.5 for 60/15 microF (P < .01 versus 135/135 microF and 90/90 microF), 8.8 +/- 2.4 for 90/22.5 microF (P < .01 versus 135/135 microF and 90/90 microF), 12.5 +/- 3.4 for 135/135 microF, and 12.6 +/- 2.6 for 90/90 microF. CONCLUSIONS: The biphasic waveform with large voltage changes at phase reversal caused by parallel-series mode switching appeared to improve the ventricular defibrillation threshold in a pig model compared with a currently available biphasic waveform. The 60/15-microF capacitor performed as well as the 90/ 22.5-microF capacitor in the experimental waveform. Thus, smaller capacitors may allow reduction in device size without sacrificing defibrillation threshold energy requirements.

Animals↗

Tone-dependent waterfall behavior during venous pressure elevation in isolated canine hearts.

We examined the "vascular waterfall" hypothesis, which proposes that coronary flow is unaffected by elevations in outflow pressure until the latter reaches a critical threshold level, in 29 isolated canine hearts. In fibrillating hearts vasodilated with adenosine or carbocromen, coronary flow and the coronary pressure-flow relation were not affected by changes in great cardiac vein pressure (PGCV) below a threshold value of 11 +/- 0.9 (mean +/- SEM) mm Hg. Further elevations of PGCV reduced flow and shifted the pressure-flow relation to the right, increasing its pressure-axis intercept (Pf=0). When vasomotor tone was augmented with vasopressin, threshold PGCV increased to 25 +/- 2.7 mm Hg (p less than 0.001). Once again, the pressure-flow relation was unaffected by changes in PGCV below the threshold value and shifted to the right when this value was exceeded. The amount by which spontaneous values of Pf=0 exceeded threshold values of PGCV was greater when vasomotor tone was augmented than during vasodilation. Pf=0 continued to exceed PGCV when the latter was raised above the threshold level. Both Pf=0 and threshold values of PGCV were less during a long diastole than during ventricular fibrillation. We reached the following conclusions. 1) During changes in PGCV below a threshold value, the coronary circulation exhibits traditional waterfall behavior. 2) The threshold pressure for altering waterfall behavior is affected by vascular tone and mechanical activity. 3) Pf=0 remains above PGCV when the latter is increased above the threshold value needed to alter flow.

Animals↗

Suprathreshold spatiotemporal response characteristics of the human visual system.

The apparent contrasts of suprathreshold stationary gratings, countermodulated gratings, and homogeneous flickering fields were assessed with a contrast-matching procedure. Results show that, as stimulus amplitude is increased relative to threshold, variations in apparent contrast with spatiotemporal-frequency content become much less pronounced. In other words, the contrast-matching functions are more uniform across both spatial and temporal frequency at levels of contrast well above threshold. These data are interpreted in terms of a compensatory stage in the visual system that varies its gain characteristics according to the detectability of the stimulus.

Differential Threshold↗

Effect of subliminal stimuli on consumer behavior: negative evidence.

The study corrected methodological weaknesses found in previous experiments designed to test the contentions of motivational research theorists that subliminal stimulation can affect buying behavior. The words "Hershey's Chocolate" were presented to a group of 18 experimental Ss below a forced-choice detection threshold. The 19 control Ss had a blank slide superimposed over the same background media. In a highly controlled buying situation neither experimental nor control Ss purchased Hershey's products, but on comparable chocolate products, the experimental Ss bought 5 and the control Ss, 3. A second study tested 15 experimental and 12 control Ss with the stimulus presented just below a recognition threshold. No experimental Ss bought Hershey's; two control Ss did. No support was found for the claims of motivational research theorists.

Behavior Therapy↗

Treatment thresholds for preventive therapy: a simplified example of therapy for prevention of hip fractures.

Physicians intuitively understand that preventive treatments may be worthwhile for patients at very high risk of a disease, but not for those with a very low risk. Somewhere in between lies a probability of the disease, called the "treatment threshold" above which prevention is worthwhile and below which it is not. This essay presents an approach to clinical decision-making based on methods developed for bedside decision analysis. Using a hypothetical example of a treatment to prevent hip fracture, this model demonstrates that the treatment threshold (the probability of fracture above which prevention is cost-effective) decreases as 1) the effectiveness of the treatment increases, 2) the cost of the drug decreases, 3) the cost of physician visits and tests to monitor treatment decreases, 4) the value placed on the fracture (medical costs, death, disability) increases. When sufficient data becomes available, estimates of treatment threshold can be combined with estimates of an individual's risk of fracture to aid clinical decision-making about prevention of fractures.

Cost-Benefit Analysis↗

Core temperature thresholds for hyperpnea during passive hyperthermia in humans.

Humans have higher ventilation when they are hyperthermic but it is not known whether core temperature thresholds for ventilation exist, nor has a physiological rationale been presented for this response. To examine this question, ventilation was studied in relation to core temperatures in humans rendered hyperthermic in a warm bath. Seven subjects [mean (SE), 23.3 (1.4) years] wearing only shorts and a thick felt hat with ear flaps were immersed to the neck in a bath at 41 (0.5) degrees C for 25 min. Tympanic (Tty), esophageal (Tes), thigh skin and forehead skin temperatures, heart rate, inspired minute ventilation (V1 at body temperature and pressure, saturated), ventilation frequency and oxygen consumption (VO2 at standard temperature and pressure, dry) were recorded at 30-s intervals. At immersion V1 briefly increased to 18.6 (3.0) l.min-1, returned to about the pre-immersion value, and significantly increased to 19.3 (3.0) l.min-1 by the end of immersion. VO2 increased significantly from the pre-immersion value of 0.27 l.min-1 to 0.67 l.min-1 by the first 0.5 min of immersion, but then returned to its pre-immersion value. Tty increased to 38.7 (0.2) degrees C and Tes increased to 39.0 (0.2) degrees C by the end of immersion. Core temperature thresholds for increases in V1 were evident at 38.1 degrees C when expressed against Tty and at 38.5 degrees C when expressed against Tes. The results indicated that during body warming core temperature thresholds for V1 are reached and subsequently a hyperpnea was evident, despite VO2 remaining at a resting value.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Static stretch sensitivity of Ia and II afferents in the cat's gastrocnemius.

The static discharge characteristics of deefferented Ia and II spindle afferents in the cat medial gastrocnemius muscle have been compared with respect to incidence and firing rate of spontaneously firing units, length threshold of nonspontaneous units, linearity of the response to stretch, and position sensitivity. Measurements of the stretch response were taken 20s after each step increase in length so as to obtain the nearly fully adapted rate. Under this condition the frequency-length relationship was quite linear, especially for group II units. The mean position sensitivity of group II fibers exceeded that of Ia fibers in the ratio of 1.5: 1.0. The incidence of spontaneously discharging units was about 20% for both types of unit. The relationships between some of these measures and axonal conduction rate were examined. No correlation of position sensitivity with axonal conduction velocity was detected for either afferent type, but the length thresholds of the group II afferents showed a significant trend for slower conducting, that is, smaller fibers to be less sensitive. There was some indication of a direct relationship between conduction velocity and length threshold for Ia fibers. The contradiction to the "size principle" and mechanisms contributing to the static discharge behavior of the spindle are discussed.

Animals↗

Effect of dietary modifications on lactate threshold and onset of blood lactate accumulation during incremental exercise.

To assess the effect of dietary change on (1) the point at which arterial blood lactate concentration (HLa) increases above the resting value (lactate threshold) and (2) the fixed point corresponding to 4 mM of HLa (onset of blood lactate accumulation; OBLA), five healthy male subjects were put on a mixed diet for 3 days, followed by 4 days of a low carbohydrate diet (a low CHO diet), and then 3 days of a high carbohydrate diet (a high CHO diet). Following each type of diet, the subjects performed a progressive bicycle exercise test, during which concentrations of HLa, pyruvate, FFA, and glucose were analyzed from serial samples of arterial blood, and VO2 was obtained by the Douglas bag method. The results of this study are as follows: FFA was significantly lower, while pyruvate was significantly higher at rest after a high CHO diet than after a low CHO diet (P less than 0.05). These differences continued throughout the incremental exercise, which indicates the incremental contribution of CHO to metabolism after a high CHO diet and vice versa. There was no significant difference in lactate threshold expressed in VO2 among the three conditions. VO2 obtained at OBLA was significantly lower after a high CHO diet than after a low CHO diet (P less than 0.01). It was concluded that the dietary modifications used in this study had no influence on lactate threshold but did affect the point of OBLA. Therefore, dietary conditions should be considered when OBLA is determined using a fixed 4-mM HLa method.

Adult↗

Speed discrimination under stabilized and normal viewing conditions.

To determine whether speed discrimination improves when the retinal image is stabilized against the effects of eye movements, thresholds were measured under stabilized and normal viewing conditions. In the normal viewing conditions, eye movements were recorded and used to estimate retinal-image speeds. Stimulus reference speed for sinusoidal gratings varied from 0.5 to 8.0 deg/sec. Results showed that speed discrimination thresholds, expressed as Weber ratios, decreased with increasing stimulus speed for both the normal and stabilized viewing conditions. Stabilized viewing thresholds were higher than normal viewing thresholds only at the slowest stimulus reference speed. However, when speed discrimination thresholds were expressed as a function of the estimated retinal speed, there was no difference in thresholds for the stabilized and normal viewing conditions. A retinal-image model, whereby speed discrimination depends on retinal-image motion, explains the results.

Differential Threshold↗

Colour thresholds and receptor noise: behaviour and physiology compared.

Photoreceptor noise sets an absolute limit for the accuracy of colour discrimination. We compared colour thresholds in the honeybee (Apis mellifera) with this limit. Bees were trained to discriminate an achromatic stimulus from monochromatic lights of various wavelengths as a function of their intensity. Signal-to-noise ratios were measured by intracellular recordings in the three spectral types of photoreceptor cells. To model thresholds we assumed that discrimination was mediated by opponent mechanisms whose performance was limited by receptor noise. Most of the behavioural thresholds were close to those predicted from receptor signal-to-noise ratios, suggesting that colour discrimination in honeybees is affected by photoreceptor noise. Some of the thresholds were lower than this theoretical limit, which indicates summation of photoreceptor cell signals.

Animals↗

Cochlear and trigeminal systems contributing to the startle reflex in rats.

The startle reflex is evoked by strong acoustic or tactile stimuli, or by electrical stimulation of acoustic or tactile pathways. To dissociate the contributions of acoustic and tactile pathways, stimulating electrodes were placed in adjacent cochlear and trigeminal nuclei. The currents needed to evoke startle-like responses were an order of magnitude lower in ventral trigeminal sites (12-80 microA for a 0.1-ms pulse) than in cochlear nucleus sites (150-800 microA). At low threshold sites in both areas, brief acoustic stimuli were followed 0-4 ms later by a single electrical pulse and the current required to evoke startle was measured at several interstimulus intervals. Summation between the acoustic and electrical stimuli for startle was strong in both cochlear and trigeminal sites. Collision effects were found in the anteroventral cochlear nucleus when the electrical stimulus followed the ipsilateral acoustic stimulus by 2.0 ms, suggesting that acoustic startle is mediated by axons in the anteroventral cochlear nucleus. Collision effects were found at 4.0 ms if the electrical stimulus was presented in the contralateral pontine reticular formation, suggesting that acoustic signals mediating startle mainly cross to the pontine reticular formation. Collision effects were not found in medial or posterior sites in the cochlear nucleus, or trigeminal sites, suggesting that the neurons that mediate startle in these sites do not mediate acoustic startle. Therefore, acoustic startle is mediated through high threshold cochlear nucleus sites, while low threshold sites are non-acoustic, probably as a result of trigeminal or vestibular stimulation.

Acoustic Stimulation↗

Increased susceptibility of male rats to kanamycin-induced cochleotoxicity.

Although clinical observations suggest that males are more susceptible than females to ototoxic drugs, controlled experimental studies investigating gender susceptibility have not been performed. Aminoglycosides initially attack the cochlea's outer hair cells (OHCs). We investigated the effects of the aminoglycoside, kanamycin, on electrophysiological function of OHCs in male and female rats. Animals were grouped by gender and treated with kanamycin (400 mg/kg/day kanamycin base, intramuscular injection) or equivolume normal saline. Administration was continued until distortion product otoacoustic emissions (DPOAEs) suggested a loss in OHC function in kanamycin-treated rats. Males treated with kanamycin showed changes in DPOAE thresholds and amplitudes as early as treatment day 10 which spread to all test frequencies by treatment day 13. In contrast, females treated with kanamycin did not show significant changes in thresholds or amplitudes until treatment day 22. The mechanism of increased male susceptibility to kanamycin cochleotoxicity has not been determined.

Animals↗