Cortical responses to salient nociceptive and not nociceptive stimuli in vegetative and minimal conscious state

Aims: Questions regarding perception of pain in non-communicating patients and the management of pain continue to raise controversy both at a clinical and ethical level. The aim of this study was to examine the cortical response to salient visual, acoustic, somatosensory electric non-nociceptive and nociceptive laser stimuli and their correlation with the clinical evaluation. Methods: Five Vegetative State (VS), 4 Minimally Conscious State (MCS) patients and 11 age- and sex-matched controls were examined. Evoked responses were obtained by 64 scalp electrodes, while delivering auditory, visual, non-noxious electrical and noxious laser stimulation, which were randomly presented every 10 s. Laser, somatosensory, auditory and visual evoked responses were identified as a negative-positive (N2-P2) vertex complex in the 500 ms post-stimulus time. We used Nociception Coma Scale-Revised (NCS-R) and Coma Recovery Scale (CRS-R) for clinical evaluation of pain perception and consciousness impairment. Results: The laser evoked potentials (LEPs) were recognizable in all cases. Only one MCS patient showed a reliable cortical response to all the employed stimulus modalities. One VS patient did not present cortical responses to any other stimulus modality. In the remaining participants, auditory, visual and electrical related potentials were inconstantly present. Significant N2 and P2 latency prolongation occurred in both VS and MCS patients. The presence of a reliable cortical response to auditory, visual and electric stimuli was able to correctly classify VS and MCS patients with 90% accuracy. Laser P2 and N2 amplitudes were not correlated with the CRS-R and NCS-R scores, while auditory and electric related potentials amplitude were associated with the motor response to pain and consciousness recovery. Discussion: pain arousal may be a primary function also in vegetative state patients while the relevance of other stimulus modalities may indicate the degree of cognitive and motor behavior recovery. This underlines the importance of considering the potential experience of pain also in patient

Multivariate tools to investigate the spatial contaminant distribution in a highly anthropized area (Gulf of Naples, Italy)

The Gulf of Naples located in a high anthropized coastal area is subjected to an infrastructural intervention for the installation of a submarine power pipeline. In order to evaluate the distribution of contaminants in the seafloor sediments, a preliminary study has been conducted in the area using multivariate techniques. The statistic approach was performed to gain insights on the occurrence of organic and inorganic contaminants within the area, aiming to identify the relevant hot spots. Three geographical sub-areas influenced by different contaminant association were recognized: Torre Annunziata (TA), Capri (CA), and middle offshore (MO). TA and CA resulted marked by a severe contamination pattern due to anthropogenic pressures. In addition, the influence of the depositional basin in governing the contamination trend has been pointed out. The supervised technique PLS_DA resulted to be a powerful tool in addressing the complexity of the huge dataset acquired during the marine survey, highlighting the main trends in the variability of quality indicators, orienting thus the deeper investigations during follow-up monitoring activities

The real-time multiparametric network of Campi Flegrei and Vesuvius

Volcanic processes operate over a wide range of time scale that requires different instruments and techniques to be monitored. The best approach to survey a volcanic unrest is to jointly monitor all the geophysical quantities that could vary before an eruption. The monitoring techniques are sometimes peculiar for each volcano, which has its own behavior. The simultaneous investigation of all the geophysical and geochemical parameters improves the sensibility and the understanding of any variation in the volcanic system. The Osservatorio Vesuviano is the INGV division charged of the Campi Flegrei and Vesuvius monitoring, two of the highest risk volcanic complexes in the world due to the large number of people living on or close to them. Each of them have peculiarities that increase the monitoring challenge: Campi Flegrei has high anthropic noise due to people living within its numerous craters; Vesuvius has a sharp topography that complicates the data transmission and analysis. The real time monitoring of the two areas involves several geophysical fields and the data are transmitted by a wide data-communication wired or radio infrastructure to the Monitoring Centre of Osservatorio Vesuviano: - The seismic network counts of 20 station sites in Campi Flegrei and 23 in Vesuvius equipped with velocimetric, accelerometric and infrasonic sensors. Some of them are borehole stations. - The GPS network counts of 25 stations operating at Campi Flegrei caldera and 9 stations at Vesuvius volcano. All the procedures for remote stations managing (raw data downloading, data quality control and data processing) take place automatically and the computed data are shown in the Monitoring Centre. - The mareographic network counts of 4 stations in the Campi Flegrei caldera coast and 3 close to the Vesuvius that transmit to the Monitoring Centre where the data are elaborated. - The tiltmetric network consist of 10 stations distributed around Pozzuoli harbor, the area of maximum ground uplift of Campi Flegrei, evidenced since 2005, and 7 stations distributed around the Vesuvius crater. Each tiltmetric station is also equipped with a temperature and magnetic sensor. The signals recorded are sent to the Monitoring Centre. - The 4 marine multiparametric stations installed in the Pozzuoli gulf send accelerometric, broad band, hydrophonic and GPS data to the Monitoring Centre. - The geochemical network counts of 4 multiparametric stations in the fumarolic areas of Campi Flegrei and 2 stations in the Vesuvius crater (rim and bottom) with data transmission to the Monitoring Centre. They collect soil CO2 flux, temperature gradient and environmental and meteorological parameters and transmit them directly to the Monitoring Centre. - The permanent thermal infrared surveillance network (TIRNet) is composed of 6 stations distributed among Campi Flegrei and Vesuvius. The stations acquire IR scenes at night-time of highly diffuse degassing areas. IR data are processed by an automated system of IR analysis and the temperatures values are sent to the Monitoring CentrePublishedVienna, Austria1IT. Reti di monitoraggio e sorveglianz

Rendiconto di sorveglianza sismica anno 2003

La Rete Sismica dell’Osservatorio Vesuviano (RSOV) è costituita da stazioni sismiche analogiche a corto periodo e stazioni digitali a larga banda con trasmissione continua dei segnali al Centro di Acquisizione (Fig. 1). La Rete è progettata per il monitoraggio delle aree vulcaniche attive della Campania (Vesuvio, Campi Flegrei, Ischia) e fornisce informazioni relative alla sismicità a scala regionale in collaborazione con la Rete Sismica Nazionale Centralizzata (INGV – Centro Nazionale Terremoti). La ricezione dei dati delle stazioni della RSOV è centralizzata presso la sede OV di via Manzoni. Nel mese di Marzo 2003 un cedimento strutturale ha reso inagibile l'edificio che ospitava detta sede. La necessità di individuare una soluzione alternativa nel più breve tempo possibile ha portato allo spostamento di tutto il sistema di centralizzazione ed acquisizione presso l'edificio adiacente, nei locali occupati dal Dipartimento di Urbanistica del Comune di Napoli. I limiti e la precarietà della nuova installazione hanno determinato per alcune stazioni un aumentato dei disturbi e delle interferenze sui segnali radio. Per questo motivo molti degli interventi effettuati sulla rete sismica durante l'anno sono stati indirizzati a cercare di ridurre questo inconveniente per migliorare la qualità dei segnali. Sulla base di tale esperienza è in programma una ristrutturazione della rete che prevede la centralizzazione dei segnali con sistemi ridondanti ed indipendenti.INGV Sezione Di Napoli "Osservatorio Vesuviano"Published1IT. Reti di monitoraggio e sorveglianz

Technology-assisted writing opportunities for a man emerged from a minimally conscious state and affected by extensive motor disabilities

Objective: To assess a computer-aided technology for assisting writing in a man who emerged from a minimally conscious state and presented with extensive motor disabilities. Method: The technology served to present letters, in groups, at the centre of a computer screen and display (write) the letters selected by the man (i.e. through a simplified pointing response) on the upper half of that screen. Results: The results showed that the technology enabled the man to produce clear (readily readable) writing. This writing compared positively with the results obtained using a communication board containing the letters (i.e. a system already available to the man). Conclusion: Computer-aided technology may provide basic writing (communication) opportunities to persons emerged from a minimally conscious state and affected by extensive motor disabilities and lack of speech. © 2011 Informa UK Ltd. All Rights Reserved

Occupation and communication programs for post-coma persons with or without consciousness disorders who show extensive motor impairment and lack of speech

These two studies were aimed at extending the assessment of technology-aided programs for post-coma persons with extensive motor impairment and lack of speech. Specifically, Study I assessed a new program arrangement, in which stimulation access and caregiver attention could be obtained with variations of the same response (i.e., single- versus double-hand closure) by three participants who were diagnosed at the upper level of the minimally conscious state at the start of the study. Study II was aimed at enabling two persons who had emerged from a minimally conscious state to engage in leisure activities, listen to audio-recordings of family members, and send and receive messages. The responses selected for these participants were hand pressure and eyelid closure, respectively. The results of both studies were positive. The participants of Study I increased their responding to increase their stimulation input and caregiver interaction. The participants of Study II managed to successfully select all the options the program included (i.e., the leisure options, as well as the family and communication options). General implications of the programs and the related technology packages for intervention with post-coma persons with multiple disabilities are discussed. (C) 2014 Elsevier Ltd. All rights reserved

Evaluation of technology-assisted learning setups for undertaking assessment and providing intervention to persons with a diagnosis of vegetative state

Objective: To evaluate the viability of technology-assisted learning setups for undertaking assessment and providing intervention to persons in vegetative state. Method: Study I investigated whether three persons with a diagnosis of vegetative state could associate eye blinking or hand closure responses with contingent, positive stimulation, thus increasing their frequencies (showing signs of learning). Study II extended the learning process (introducing a new response and new stimuli) for one of the participants of Study I. Results: Two of the participants of Study I succeeded in increasing their responses, indicating signs of learning. Study II showed that the participant (one of the two succeeding in Study I) acquired a new response to access new stimuli and could alternate this response with the one acquired in Study I. Conclusion: Learning might represent a basic level of knowledge and consciousness. Detecting signs of learning might help modify a previous diagnosis of vegetative state and support intervention/rehabilitation efforts

Assistive technology to help persons in a minimally conscious state develop responding and stimulation control: Performance assessment and social rating

BACKGROUND: Post-coma persons in a minimally conscious state (MCS) and with extensive motor impairment and lack of speech tend to be passive and isolated. OBJECTIVE: This study aimed to (a) further assess a technology-aided approach for fostering MCS participants' responding and stimulation control and (b) carry out a social validation check about the approach. METHODS:EightMCSparticipants were exposed to the aforementioned approach according to anABABdesign. The technology included optic, pressure or touch microswitches to monitor eyelid, hand or finger responses and a computer system that allowed those responses to produce brief periods of positive stimulation during the B (intervention) phases of the study. Eighty-four university psychology students and 42 care and health professionals were involved in the social validation check. RESULTS: The MCS participants showed clear increases in their response frequencies, thus producing increases in their levels of environmental stimulation input, during the B phases of the study. The students and care and health professionals involved in the social validation check rated the technology-aided approach more positively than a control condition in which stimulation was automatically presented to the participants. CONCLUSIONS: A technology-aided approach to foster responding and stimulation control in MCS persons may be effective and socially desirable

Assessing learning as a possible sign of consciousness in post-coma persons with minimal responsiveness

A learning test procedure based on operant principles may be useful in the diagnosis (and eventually rehabilitation) of post-coma persons with minimal responsiveness. This study was aimed at extending the evaluation of such a procedure with seven participants who presented with very limited behavior and apparently severe disorders of consciousness. The procedure was evaluated through an ABACB design, in which A represented baseline phases without stimulation, B intervention phases with brief stimulation periods contingent on specific responses of the participants, and C a control phase in which stimulation was available all the time. Increased responding during the B phases, as opposed to the A and C phases, was taken to indicate learning and possibly a non-reflective expression of phenomenal consciousness. All participants were also evaluated with the coma recovery scale-revised (CRS-R) prior to the start of the learning test procedure and at the end of it. The results of the learning test showed that all participants had significantly higher responding levels during the B phases. The CRS-R scores suggested minimally conscious state for four of them prior to the learning test and for five of them after the completion of the learning test. The implications of the findings are discussed in terms of potential and time cost of the learning test

The Sous Vide Cooking of Mediterranean Mussel (Mytilus galloprovincialis): Safety and Quality Assessment

: This study involves an investigation of the effects of various cooking temperatures, freeze-thaw processes, and food preservatives on the quality and shelf-life of sous vide Mediterranean mussels. Cooking temperatures of 80 °C or above significantly improved the microbiological quality, with bacterial counts remaining within the acceptability range for human consumption even after 21 days of refrigerated storage. Fast freezing followed by slow thawing preserved the highest moisture content, potentially improving texture. Sensory analysis revealed that refrigerated sous vide mussels maintained a comparable taste to freshly cooked samples. Frozen samples reheated via microwaving exhibited more intense flavour than pan-reheated or fresh mussels. Food additives, including citric acid, potassium benzoate, and potassium sorbate, alone or in combination with grape seed oil, significantly reduced total volatile basic nitrogen and thiobarbituric acid-reactive substances during 28 days of storage, indicating decreased spoilage and lipid oxidation. Mussels with a combination of these additives registered a nitrogen content as low as 22 mg of N/100g after 28 days, well below the limit of acceptability (<35 mg of N/100g). Food additives also inhibited bacterial growth, with mesophilic bacteria count below 3.35 Log CFU/g after 28 days, compared with 5.37 Log CFU/g in control samples. This study provides valuable insights for developing optimal cooking and preservation methods for sous vide cooked seafood, underscoring the need for further research on optimal cooking and freeze-thaw protocols for various seafood types