3,777 research outputs found
Brain oscillations differentially encode noxious stimulus intensity and pain intensity
Noxious stimuli induce physiological processes which commonly translate into pain. However, under certain conditions, pain intensity can substantially dissociate from stimulus intensity, e.g. during longer-lasting pain in chronic pain syndromes. How stimulus intensity and pain intensity are differentially represented in the human brain is, however, not yet fully understood. We therefore used electroencephalography (EEG) to investigate the cerebral representation of noxious stimulus intensity and pain intensity during 10 min of painful heat stimulation in 39 healthy human participants. Time courses of objective stimulus intensity and subjective pain ratings indicated a dissociation of both measures. EEG data showed that stimulus intensity was encoded by decreases of neuronal oscillations at alpha and beta frequencies in sensorimotor areas. In contrast, pain intensity was encoded by gamma oscillations in the medial prefrontal cortex. Contrasting right versus left hand stimulation revealed that the encoding of stimulus intensity in contralateral sensorimotor areas depended on the stimulation side. In contrast, a conjunction analysis of right and left hand stimulation revealed that the encoding of pain in the medial prefrontal cortex was independent of the side of stimulation. Thus, the translation of noxious stimulus intensity into pain is associated with a change from a spatially specific representation of stimulus intensity by alpha and beta oscillations in sensorimotor areas to a spatially independent representation of pain by gamma oscillations in brain areas related to cognitive and affective-motivational processes. These findings extend the understanding of the brain mechanisms of nociception and pain and their dissociations during longer-lasting pain as a key symptom of chronic pain syndromes
Prefrontal gamma oscillations encode tonic pain in humans
Under physiological conditions, momentary pain serves vital protective functions. Ongoing pain in chronic pain states, on the other hand, is a pathological condition that causes widespread suffering and whose treatment remains unsatisfactory. The brain mechanisms of ongoing pain are largely unknown. In this study, we applied tonic painful heat stimuli of varying degree to healthy human subjects, obtained continuous pain ratings, and recorded electroencephalograms to relate ongoing pain to brain activity. Our results reveal that the subjective perception of tonic pain is selectively encoded by gamma oscillations in the medial prefrontal cortex. We further observed that the encoding of subjective pain intensity experienced by the participants differs fundamentally from that of objective stimulus intensity and from that of brief pain stimuli. These observations point to a role for gamma oscillations in the medial prefrontal cortex in ongoing, tonic pain and thereby extend current concepts of the brain mechanisms of pain to the clinically relevant state of ongoing pain. Furthermore, our approach might help to identify a brain marker of ongoing pain, which may prove useful for the diagnosis and therapy of chronic pain
Subakuter und chronischer Rückenschmerz in der hausärztlichen Versorgung: Eine systematische Übersichtsarbeit symptomevaluierender Studien
Hintergrund: Subakuter und chronischer Rückenschmerz ist ein häufiges Symptom in der
Allgemeinmedizin. Symptome wiederum sind meist der Grund für eine Vorstellung beim Hausarzt.
Dementsprechend liefern symptomevaluierende Studien wichtige Daten für dieses
Patientenkollektiv. Interessante Zielgrößen sind unter anderem die Prävalenz, die Ätiologie und die
Prognose.
Ziel: In dieser systematischen Übersichtsarbeit wird die Literatur der letzten 50 Jahre durchsucht
und symptomevaluierende Studien zum Thema subakuter und chronischer Rückenschmerzen beim
Hausarzt analysiert, um den aktuellen Wissensstand zu diesem Thema zu erarbeiten.
Methode: Studien wurden durch eine systematische Literatursuche in Pubmed identifiziert. Die
gefundenen Studienzusammenfassungen wurden anhand zuvor definierter Ein- und
Ausschlusskriterien von zwei Beurteilen bewertet. Die Volltexte der einschlägigen
Studienzusammenfassungen wurde in gleicher Weise bewertet. Die Daten, der schließlich
eingeschlossenen Studien/Publikationen wurden strukturiert extrahiert und die Studienqualität
bewertet. Um eine Vergleichbarkeit der verschiedenen Ergebnisse zu gewährleisten wurde ein
prozentueller Ergebniswert verwendet.
Ergebnisse: 885 der 3794 Studienzusammenfassungen waren einschlägig. Von diesen 885
Publikation entsprachen 26 Publikationen von 15 Studien den Ein- und Ausschlusskriterien dieser
Arbeit. Da die Daten der Arbeiten sehr inhomogen waren, wurde keine Metaanalyse durchgeführt,
sondern eine deskriptive Auswertung durchgeführt. Der überwiegende Teil der Studien erhielt eine
gute bis durchschnittliche Qualitätsbewertung.
Eine Studien lieferte Daten zur Ätiologie chronischer Rückenschmerz und fand, dass 23.6 % der
Patientin axiale Spondyloarthritis hatten, 22 % von diesen wiederum hatten Spondylitis ankylosans.
Zwei Studien erbrachten Daten zur Prävalenz. Eine Studie zeigte, dass 1.3 % der Hausarztpatienten
sich wegen chronischer Rückenschmerzen vorstellen. Die zweite Studie zeigte, dass 5.95 % der
Chronisch-Kranken chronischen Rückenschmerz haben. Der überwiegende Teil der Ergebnisse
ergab Prognosedaten. Die wesentlichen Ergebniskategorien waren: Schmerz, Lebensqualität,
funktionelle Beeinträchtigung, arbeitsbezogene Ergebnisse und Stimmung. Die mittlere prozentuale
Veränderung über 6 Monate betrug -2.9 bis +23.6 % im Bereich Lebensqualität, mit einer großen
Spannweite innerhalb der einzelnen Subskalen. Im Bereich Schmerz war die mittlere prozentuale
Veränderung -2.1 bis +11 % nach 6 Monaten. Nur eine Studie zeigte eine Verschlechterung der
Schmerzsymptomatik. Die funktionelle Beeinträchtigung verbesserte sich im Mittel um +5.8 bis
+6.8 % nach 6 Monaten. 48 bis 58 % der initial krankgeschriebenen Patientin waren auch noch
nach 12 Monaten krank geschriebenen.
Fazit: Diese systematische Übersichtsarbeit symptomevaluierender Studien zeigt eine Verbesserung
der verschiedenen Ergebniskategorien über die Zeit. Es gibt wenig Literatur über Prävalenz und
Ätiologie im Bezug auf das Symptom subakuter und chronischer Rückenschmerz in der
Hausarztpraxis
ASASSN-16ae: A Powerful White-Light Flare on an Early-L Dwarf
We report the discovery and classification of SDSS~J053341.43+001434.1
(SDSS0533), an early-L dwarf first discovered during a powerful magnitude flare observed as part of the ASAS-SN survey. Optical and
infrared spectroscopy indicate a spectral type of L0 with strong H
emission and a blue NIR spectral slope. Combining the photometric distance,
proper motion, and radial velocity of SDSS0533 yields three-dimensional
velocities of ~km~s, indicating
that it is most likely part of the thick disk population and probably old. The
three detections of SDSS0533 obtained during the flare are consistent with a
total -band flare energy of at least ~ergs (corresponding
to a total thermal energy of at least ~erg),
placing it among the strongest detected M dwarf flares. The presence of this
powerful flare on an old L0 dwarf may indicate that stellar-type magnetic
activity persists down to the end of the main sequence and on older ML
transition dwarfs.Comment: 7 pages, 3 tables, 2 figures; accepted to ApJ Letters; updated to
reflect referee response and proof correction
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Thermal activation of catalytic microjets in blood samples using microfluidic chips
We demonstrate that catalytic microjet engines can out-swim high complex media composed of red blood cells and serum. Despite the challenge presented by the high viscosity of the solution at room temperature, the catalytic microjets can be activated at physiological temperature and, consequently, self-propel in diluted solutions of blood samples. We prove that these microjets self-propel in 10× diluted blood samples using microfluidic chips
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Did a workplace sugar-sweetened beverage sales ban reduce anxiety-related sugar-sweetened beverage consumption during the COVID-19 pandemic?
ObjectiveWorkplace sugar-sweetened beverage (SSB) sales bans can reduce SSB consumption. Because stress and anxiety can promote sugar consumption, we examined whether anxiety among hospital employees during the COVID-19 pandemic was associated with changes in SSB consumption and explored whether this relationship varied by exposure to a workplace SSB sales ban.DesignIn a prospective, controlled trial of workplace SSB sales bans, we examined self-reported anxiety (generalised anxiety disorder-7) and self-reported SSB consumption (fluid ounces/d) before (July 2019) and during (May 2020) the COVID-19 pandemic.SettingHospital sites in two conditions (four with SSB sales bans and three without sales bans) in Northern California.ParticipantsWe sampled 580 participants (hospital employees) from a larger trial of sales bans; all were regular consumers of SSB (minimum 3/week at main trial enrollment). This subsample was chosen based on having appropriately timed data for our study questions.ResultsAcross conditions, participants reduced SSB consumption over the study period. However, participants with higher pandemic-era anxiety scores experienced smaller reductions in SSB consumption after 9 months compared with those with lower anxiety scores (β = 0·65, P < 0·05). When the sample was disaggregated by sales ban condition, this relationship held for participants in the control group (access to SSB at work, β = 0·82, P < 0·05), but not for those exposed to an SSB sales ban (β = 0·42, P = 0·25).ConclusionsSSB sales bans likely reduce SSB consumption through multiple pathways; buffering stress-related consumption may be one mechanism
Mitochondrial genomes of Pleistocene megafauna retrieved from recent sediment layers of two Siberian lakes
Ancient environmental DNA (aeDNA) from lake sediments has yielded remarkable insights for the reconstruction of past ecosystems, including suggestions of late survival of extinct species. However, translocation and lateral inflow of DNA in sediments can potentially distort the stratigraphic signal of the DNA. Using three different approaches on two short lake sediment cores of the Yamal peninsula, West Siberia, with ages spanning only the past hundreds of years, we detect DNA and identified mitochondrial genomes of multiple mammoth and woolly rhinoceros individuals—both species that have been extinct for thousands of years on the mainland. The occurrence of clearly identifiable aeDNA of extinct Pleistocene megafauna (e.g. >400 K reads in one core) throughout these two short subsurface cores, along with specificities of sedimentology and dating, confirm that processes acting on regional scales, such as extensive permafrost thawing, can influence the aeDNA record and should be accounted for in aeDNA paleoecology.</jats:p
A Stellar Population Gradient in VII Zw 403 - Implications for the Formation of Blue Compact Dwarf Galaxies
We present evidence for the existence of an old stellar halo in the Blue
Compact Dwarf galaxy VII Zw 403. VII Zw 403 is the first Blue Compact Dwarf
galaxy for which a clear spatial segregation of the resolved stellar content
into a "core-halo" structure is detected. Multicolor HST/WFPC2 observations
indicate that active star formation occurs in the central region, but is
strikingly absent at large radii. Instead, a globular-cluster-like red giant
branch suggests the presence of an old (> 10 Gyr) and metal poor
(=-1.92) stellar population in the halo. While the vast majority of
Blue Compact Dwarf galaxies has been recognized to possess halos of red color
in ground-based surface photometry, our observations of VII Zw 403 establish
for the first time a direct correspondence between a red halo color and the
presence of old, red giant stars. If the halos of Blue Compact Dwarf galaxies
are all home to such ancient stellar populations, then the fossil record
conflicts with delayed-formation scenarios for dwarfs.Comment: Accepted for publication in the Ap
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