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The effect of situation-evoked anxiety and gender on pain report using the cold pressor test.

The aims of the present study were to investigate the influence of anxiety on pain perception and to test whether gender differences in pain perception are anxiety dependent. Sixty male and female university students exposed to situation-evoked anxiety or a control procedure were measured for their pain threshold, tolerance, and perceived intensity during a cold pressor test. Both subjective and autonomic responses indicated that anxiety was successfully induced in participants exposed to the anxiety condition. Increased situational anxiety had no significant effect on pain threshold or pain tolerance. Significant increases in pain intensity were found for the anxiety group. Levels of anxiety, however, did not correlate with this increased intensity, raising doubt as to the role of anxiety in producing this effect. No gender differences were found for pain tolerance or pain intensity. Gender differences were found for pain threshold in the anxiety group with, contrary to past findings, females showing significantly higher pain thresholds than males. The results are discussed in the light of related studies.

Adult↗

Changes in freezing tolerance, plasma membrane H+-ATPase activity and fatty acid composition in Pinus resinosa needles during cold acclimation and de-acclimation.

It has previously been suggested that plasma membrane ATPase (PM H+-ATPase, EC 3.6.1.3.) is a site of incipient freezing injury because activity increases following cold acclimation and there are published data indicating that activity of PM H+-ATPase is modulated by changes in lipids associated with the enzyme. To test and extend these findings in a tree species, we analyzed PM H+-ATPase activity and the fatty acid (FA) composition of glycerolipids in purified plasma membranes (PMs) prepared by the two-phase partition method from current-year needles of adult red pine (Pinus resinosa Ait.) trees. Freezing tolerance of the needles decreased from -56 degrees C in March to -9 degrees C in May, and increased from -15 degrees C in September to -148 degrees C in January. Specific activity of vanadate-sensitive PM H+-ATPase increased more than two-fold following cold acclimation, despite a concurrent increase in protein concentration. During de-acclimation, decreases in PM H+-ATPase activity and freezing tolerance were accompanied by decreases in the proportions of oleic (18:1) and linoleic (18:2) acids and increases in the proportions of palmitic (16:0) and linolenic (18:3) acids in total glycerolipids extracted from the plasma membrane fraction. This pattern of changes in PM H+-ATPase activity and the 18:1, 18:2 and 18:3 fatty acids was reversed during cold acclimation. In the PM fractions, changes in FA unsaturation, expressed as the double bond index (1 x 18:1 + 2 x 18:2 + 3 x 18:3), were closely correlated with changes in H+-ATPase specific activity (r2 = 0.995). Changes in freezing tolerance were well correlated with DBI (r2 = 0.877) and ATPase specific activity (r2 = 0.833) in the PM fraction. Total ATPase activity in microsomal fractions also closely followed changes in freezing tolerance (r2 = 0.969). We conclude that, as in herbaceous plants, simultaneous seasonal changes in PM H+-ATPase activity and fatty acid composition occur during cold acclimation and de-acclimation in an extremely winter hardy tree species under natural conditions, lending support to the hypothesis that FA-regulated PM H+-ATPase activity is involved in the cellular response underlying cold acclimation and de-acclimation.

Acclimatization↗

Twenty-four-hour induction of freezing and drought tolerance in plumules of winter rye seedlings by desiccation stress at room temperature in the dark.

Exposure of seedlings of winter rye (Secale cereale L., cv. Puma) for 2 weeks or 24 hours to desiccation stress (40% relative humidity) at room temperature (21 degrees C) in the dark induced degrees of freezing and drought tolerance in the plumules comparable to those produced by cold conditioning for 2 weeks at 3 degrees C. The induction was associated with repression of growth and could not be produced in plumules excised from the seedlings indicating a requirement for translocation of nutrients from the endosperm. Rapid increase in osmotic pressure, soluble proteins, and phospholipids in plumules in association with the development of freezing and drought tolerance and the requirement of endosperm suggested diversion of nutrient from use in extension growth, to use in augmentation of protoplasm in plumule cells. Since cold acclimation slowed or arrested growth and is associated with augmentation of protoplasm, it is suggested that the common element in the induction of freezing tolerance by cold and drought is the necessity for producing a condition of augmented protoplasm and membranes in cells thus reinforcing a similar conclusion reached from seasonal studies on woody plants.

Journal Article↗

The role of raffinose in the cold acclimation response of Arabidopsis thaliana.

In many plants raffinose family oligosaccharides are accumulated during cold acclimation. The contribution of raffinose accumulation to freezing tolerance is not clear. Here, we investigated whether synthesis of raffinose is an essential component for acquiring frost tolerance. We created transgenic lines of Arabidopsis thaliana accessions Columbia-0 and Cape Verde Islands constitutively overexpressing a galactinol synthase (GS) gene from cucumber. GS overexpressing lines contained up to 20 times as much raffinose as the respective wild-type under non-acclimated conditions and up to 2.3 times more after 14 days of cold acclimation at 4 degrees C. Furthermore, we used a mutant carrying a knockout of the endogenous raffinose synthase (RS) gene. Raffinose was completely absent in this mutant. However, neither the freezing tolerance of non-acclimated leaves, nor their ability to cold acclimate were influenced in the RS mutant or in the GS overexpressing lines. We conclude that raffinose is not essential for basic freezing tolerance or for cold acclimation of A. thaliana.

Acclimatization↗

Cross-adaptive effects of cold, hypoxia, or physical training on decompression sickness in mice.

The effects of adaptation to cold, hypoxia, or exercise on hyperbaric decompression tolerance were investigated in two factorial experiments. For either 14 or 28 days, groups of mice were handled (control); exposed discontinuously for 4 h to cold (4 degrees C) or hypoxia (P approximately 379 or 320 Torr); or exercised by swimming (15 min at 31 degrees C) or treadmill excursion (8.1 m/min for 1 or 1.5 h). The animals were divided into subgroups, exposed to one of three hydrostatic pressures (7.6--11.1 ATA) for 30 min, decompressed, and observed to determine survival rate or bends incidence (type II decompression sickness). Decompression sickness was significantly reduced (P less than 0.05) in the treadmill-trained animals, was unchanged in cold-exposed and swim-exercised mice, and tended to increase in animals adapted to hypoxia. Enhanced tolerance by treadmill training is presumably due to lean body conformation, which could reduce nitrogen saturation of tissues, and greater muscle capillarization and cardiovascular fitness, which may improve nitrogen elimination. Reduced tolerance with adaptation to hypoxia may be attributed to rheological changes associated with polycythemia, which facilitate bubble production.

Adaptation, Physiological↗

Correlation between Cold- and Drought-Induced Frost Hardiness in Winter Wheat and Rye Varieties.

Exposure of six wheat (Triticum aestivum L.) and one rye (Secale cereale L.) cultivar to 40% relative humidity for 24 hours induced the same degree of freezing tolerance in seedling epicotyls as did cold conditioning for 4 weeks at 2 degrees C.Frost hardiness varietal relationships were the same in desiccation-stressed and cold-hardened seedlings. Drought stress could, therefore, be used as a rapid and simple method for inducing frost hardiness in seedling shoots in replacement of cold conditioning.

Journal Article↗

Accumulation of theanderose in association with development of freezing tolerance in the moss Physcomitrella patens.

Mosses are known to have the ability to develop high degrees of resistance to desiccation and freezing stress at cellular levels. However, underlying cellular mechanisms leading to the development of stress resistance in mosses are not understood. We previously showed that freezing tolerance in protonema cells of the moss Physcomitrella patens was rapidly increased by exogenous application of the stress hormone abscisic acid (ABA) [Minami, A., Nagao, M., Arakawa, K., Fujikawa, S., Takezawa, D., 2003a. Abscisic acid-induced freezing tolerance in the moss Physcomitrella patens is accompanied by increased expression of stress-related genes. J. Plant Physiol. 160, 475-483]. Herein it is shown that protonema cells with acquired freezing tolerance specifically accumulate low-molecular-weight soluble sugars. Analysis of the most abundant trisaccharide revealed that the cells accumulated theanderose (G6-alpha-glucosyl sucrose) in close association with enhancement of freezing tolerance by ABA treatment. The accumulation of theanderose was inhibited by cycloheximide, an inhibitor of nuclear-encoded protein synthesis, coinciding with a remarkable decrease in freezing tolerance. Furthermore, theanderose accumulation was promoted by cold acclimation and treatment with hyperosmotic solutes, both of which had been shown to enhance cellular freezing tolerance. These results reveal a novel role for theanderose, whose biological function has been obscure, in high freezing tolerance in moss cells.

Abscisic Acid↗

Effect of chronic morphine treatment on thyrotropin and prolactin levels and acute hormone responses in the rat.

The effects of three chronic morphine regimens on basal and cold-stimulated thyrotropin (TSH) and on prolactin levels were studied in male rats with and without acute morphine challenge. All the chronic regimens decreased basal and cold-stimulated TSH levels, but only one regimen (10 mg/kg b.i.d.) significantly enhanced the prolactin levels. The altered cold-stimulated TSH and prolactin levels were recovered within about 96 and 48 hr, respectively, after the last morphine injection on the 7-day pretreatment period. After the chronic administration (14 days), acute morphine challenges were performed either when cold-stimulated TSH secretion was suppressed (12- and 24-hr lag time) or when the response to cold was normalized (96-hr lag time). When the TSH levels were still low, the small challenge doses of morphine (10 and 15 mg/kg) no longer suppressed the TSH secretion. This was due neither to the real tolerance nor to the persistent effect of chronic morphine but to the withdrawal stress, which was also reflected as elevated corticosterone levels. However, after a 96-hr lag time, the challenge doses of morphine decreased TSH secretion after each morphine regimen as effectively as in the naive rats. Thus, the regimens did not induce the development of tolerance to the effect of morphine on cold-stimulated TSH secretion. Most regimens seemed to cause some tolerance to the stimulatory effect of morphine on prolactin secretion irrespective of the duration of the lag time. Even after the mildest regimen (10 mg/kg once a day), a tolerance developed to the antinociceptive effect of morphine, and it lasted well up to 96 hr.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Meaningful wind chill indicators derived from heat transfer principles.

The wind chill index (WCI) and the more widely used wind chill equivalent temperature represent an attempt to combine several weather-related variables (temperature, wind velocity and solar radiation) into a single index which can indicate human comfort. Since its introduction in 1945, the WCI has been criticized mainly on the ground that the underlying model does not comply with modern heat transfer theory. In spite of that, the WCI, "calibrated" to human comfort, has proven to be successful in predicting discomfort and tolerance of man to the cold. Nevertheless, neither the WCI nor the wind chill equivalent temperature can be actually measured and, therefore, without the additional 'calibration' they are meaningless. In this study we have shown that the WCI represents the instantaneous rate of heat loss from bare skin at the moment of exposure to the cold, and as such, it correlates reasonably well with measurable variables that represent a feeling of cold. Two new wind chill indicators have been introduced: exposed skin temperature and maximum exposure time. These indicators yield more information than the WCI provides, are measurable, have physical meaning and are based on established heat transfer principles.

Body Temperature Regulation↗

Resolving the genetic basis of invasiveness and predicting invasions.

Considerable effort has been invested in determining traits underlying invasiveness. Yet, identifying a set of traits that commonly confers invasiveness in a range of species has proven elusive, and almost nothing is known about genetic loci affecting invasive success. Incorporating genetic model organisms into ecologically relevant studies is one promising avenue to begin dissecting the genetic underpinnings of invasiveness. Molecular biologists are rapidly characterizing genes mediating developmental responses to diverse environmental cues, i.e., genes for plasticity, as well as to environmental factors likely to impose strong selection on invading species, e.g., resistance to herbivores and competitors, coordination of life-history events with seasonal changes, and physiological tolerance of heat, drought, or cold. Here, we give an overview of molecular genetic tools increasingly used to characterize the genetic basis of adaptation and that may be used to begin identifying genetic mechanisms of invasiveness. Given the divergent traits that affect invasiveness, "invasiveness genes" common to many clades are unlikely, but the combination of developmental genetic advances with further evolutionary studies and modeling may provide a framework for identifying genes that account for invasiveness in related species.

Arabidopsis↗

Interview vs. paper-and-pencil administration of the McGill Pain Questionnaire.

In a 2 x 2 design, college student subjects described one of two levels of cold pressor pain (threshold or tolerance) with the McGill Pain Questionnaire administered via one of two modes (interview or paper-and-pencil). Interview administration was associated with higher scores on 5 of the 6 MPQ scores calculated. Data did not support the notion that this effect is entirely attributable to increased probability of interviewed subjects' endorsement of descriptors for which clarification of meaning was sought. Reliable effects of pain intensity and mode of administration significantly interact.

Adult↗

A method for delivering accurate and uniform radiation dosages to the head and neck with asymmetric collimators and a single isocenter.

PURPOSE: To investigate the use of asymmetric collimators and a single isocenter for delivering a uniform, accurate dose of radiation to the head, neck, and supraclavicular lymph nodes. METHODS AND MATERIALS: A linear accelerator with a pair of asymmetric collimators is required for this technique. An isocenter was placed at the junction of the lateral head and neck fields and the anterior supraclavicular field. The asymmetric collimators were set longitudinally, by collimator rotation if necessary. The collimators split the radiation beam to all portals. Dose uniformity was measured at the junction with films in solid-water phantoms. RESULTS: Film dosimetry showed a uniform dose at the junction without hot or cold regions. A digital display tolerance of +/- 1.0 mm for a field size maintained an acceptable uniform dose (+/- 5% dose variation) at the junction. The single isocenter and asymmetric collimators reduced field setup time by half. No table rotation was required to match fields. CONCLUSION: The asymmetric collimators lead to easy and accurate patient setup. The absence of the trapezoid effect resulted in the complete coverage of the submandibular and cervical nodes without any hot spots.

Head and Neck Neoplasms↗

Experimentally induced anger, cardiovascular reactivity, and pain sensitivity.

It was investigated whether an angry state, induced by a computer task with harassing comments, would lead to a decrease in cold pressor pain threshold and tolerance in comparison to a neutral situation. It was hypothesized that an increase in cardiovascular activity might partially mediate effects of anger. Furthermore, it was examined whether subjects given the opportunity to express anger would show reduced cardiovascular activity and pain report compared to subjects not given this opportunity. Finally, trait measures for anger expression style and hostility were included. The results show an increase instead of the expected decrease in pain tolerance for subjects in the harassment condition compared to those in the neutral condition. While cardiovascular reactivity was positively related to pain threshold and tolerance, increased anger was associated with increased pain report. It is suggested that anger and cardiovascular reactivity may have important but sometimes opposing influences on pain.

Adult↗

Cognitive mediators of pain perception and tolerance.

A social learning model of pain perception and tolerance was evaluated. Responses to cold-pressor pain were examined in 4 groups of 20 Ss each. One group was given instruction in cognitive coping strategies, the 2nd was given a monetary incentive contingent on tolerance time, the 3rd was given both cognitive training and monetary reinforcement, and a no-treatment control group was given neither. Incentive and coping instructions significantly increased tolerance but did not alter pain perception. A path analysis indicated that pain tolerance was affected by self-efficacy, which in turn was predicted by pain expectancy and the provision of incentives. Incentive also had an impact on tolerance that was independent of self-efficacy. Pain perception was strongly affected by pain expectancy, but was unrelated to self-efficacy.

Adaptation, Psychological↗

RNA helicase-like protein as an early regulator of transcription factors for plant chilling and freezing tolerance.

Susceptibility to chilling injury prevents the cultivation of many important crops and limits the extended storage of horticultural commodities. Although freezing tolerance is acquired through cold-induced gene expression changes mediated in part by the CBF family of transcriptional activators, whether plant chilling resistance or sensitivity involves the CBF genes is not known. We report here that an Arabidopsis thaliana mutant impaired in the cold-regulated expression of CBF genes and their downstream target genes is sensitive to chilling stress. Expression of CBF3 under a strong constitutive promoter restores chilling resistance to the mutant plants. The mutated gene was cloned and found to encode a nuclear localized RNA helicase. Our results identify a regulator of CBF genes, and demonstrate the importance of gene regulation and the CBF transcriptional activators in plant chilling resistance.

Acclimatization↗

Comparison of different quantitative sensory testing methods during remifentanil infusion in volunteers.

BACKGROUND: The aim of this study was to compare thermal and current sensory testing stimuli with respect to opioid responsiveness. METHODS: Eighteen healthy volunteers were randomized in a placebo-controlled, double-blind crossover study to receive an infusion of remifentanil 0.08 micro g kg(-1) min(-1) or saline for 40 min. Test procedures included determination of pain perception thresholds (PPT) and pain tolerance thresholds (PTT) to heat, cold, and current at 5, 250 and 2000 Hz, at baseline and at the end of the infusion. RESULTS: Both current at 5 Hz (PPT 3.69 (SD 2.48) mA vs 2.01 (1.52) mA; PTT 6.42 (2.79) mA vs 3.63 (2.31) mA; P<0.001) and 250 Hz (PPT 4.31 (2.42) mA vs 2.89 (1.57) mA; PTT 7.08 (2.68) mA vs 4.81 (2.42) mA; P<0.001) and heat (PPT 47.4 (2.7) degrees C vs 45.2 (3) degrees C; PTT 51.1 (1.8) degrees C vs 49.7 (1.8) degrees C; P<0.05) detected a significant analgesic effect of remifentanil compared with placebo. No analgesic effect was shown on cold or current at 2000 Hz. The magnitude of responsiveness of current stimuli at 5 Hz and 250 Hz was superior to heat stimuli. CONCLUSION: Both current (5 and 250 Hz) and heat sensory testing detected a significant analgesic effect of a remifentanil infusion compared with saline. There was more response to current testing.

Adult↗

Brain protection during surgery of the aortic arch.

Deep hypothermia with circulatory arrest is the usual method of cerebral protection during replacement of the aortic arch. It has the enormous advantage of allowing the surgical repair to be carried out in a complete bloodless field with no aortic cross-clamping. However, this method only gives the surgeon a limited period of time to carry out the aortic repair. It also requires that cardiopulmonary bypass be prolonged to cool and rewarm the patient which may be the cause of various complications. It has been proposed to improve the efficiency and the results of deep hypothermia, by associating it with retrograde cerebral perfusion of the brain with oxygenated blood through the superior vena cava. This technique improves the tolerance of the brain to cold ischemia and increases the time of repair allowed to the surgeon. Antegrade selective cerebral perfusion has also been in use for more than three decades. When the perfusion is derived from the main arterial line and performed at moderate hypothermia, the aorta must be cross-clamped to perform the repair. In addition, there is some uncertainty as to what constitutes adequate perfusion flow at normal or moderate hypothermic conditions. To reconcile the advantages of both approaches while avoiding their major drawbacks, in 1986 we proposed an original method of selective antegrade brain perfusion. The principle is to perfuse selectively the brain with cold blood (10 to 12 degrees C) while maintaining the central temperature in moderate hypothermia (25-28 degrees C). During the time of the distal anastomosis the cardiopulmonary bypass is stopped, maintaining only the cerebral perfusion at a flow rate of about 400 to 500 mL/mn and a pressure of about 70 mmHg. As soon as the distal anastomosis is completed the main perfusion is resumed. Two hundred and six patients with a mean age of 57 years (22 to 83) were operated on with this technique between October 1984 and March 2001. One hundred forty three patients underwent an elective procedure and 63 patients were operated on in emergency, mainly for acute type A dissection (54 of 63). The hospital mortality was 17% (34 patients). Death was directly related to neurological injury in 9 patients (4.4%). All others patients awoke within 6 to 8 hours and were conscious at 24 hours postoperatively. Thirteen nonfatal neurological complications were observed. The type of lesion, gender, age, duration of CPB, cerebral perfusion, and circulatory arrest had no influence on the neurological outcome of the patients. In our experience, antegrade selective perfusion of the brain with cold blood and moderate hypothermic central temperature constitutes the method of choice for cerebral protection during surgery of the aortic arch as it requires no prolonged CPB and does not limit the time available to perform the aortic repair.

Adult↗