Identification of children who may benefit from self-hypnosis at a pediatric pulmonary center

BACKGROUND: Emotional difficulties can trigger respiratory symptoms. Thus, children presenting with respiratory complaints may benefit from a psychological intervention. The purpose of this study was to define the proportion of patients referred to a Pediatric Pulmonary Center who may benefit from instruction in self-hypnosis, as a psychological intervention. METHODS: A retrospective chart review was conducted for all newly referred patients to the SUNY Upstate Medical University Pediatric Pulmonary Center during an 18 month period beginning January 1, 2000. Patients were offered hypnosis if they presented with symptoms or signs suggestive of psychological difficulties. Hypnosis was taught in one or two 15–45 minute sessions by a pediatric pulmonologist. RESULTS: Of 725 new referrals, 424 were 0–5 years old, 193 were 6–11 years old, and 108 were 12–18 years old. Diagnoses of anxiety, habit cough, or vocal cord dysfunction accounted for 1% of the 0–5 year olds, 20% of the 6–11 year olds, and 31% of the 12–18 year olds. Hypnotherapy was offered to 1% of 0–5 year olds, 36% of 6–11 year olds, and 55% of 12–18 year olds. Of 81 patients who received instruction in self-hypnosis for anxiety, cough, chest pain, dyspnea, or inspiratory difficulties, 75% returned for follow-up, and among the returning patients 95% reported improvement or resolution of their symptoms. CONCLUSION: A large number of patients referred to a Pediatric Pulmonary Center appeared to benefit from instruction in self-hypnosis, which can be taught easily as a psychological intervention

Childhood habit cough treated with consultation by telephone: a case report

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background: Childhood habit cough has been treated successfully by making suggestions that it can be stopped, desensitization techniques, use of distractors, provision of rewards, and selfhypnosis. All of these techniques have involved personal contact between a health care provider and a patient. Case presentation: A 5-year-old with cystic fibrosis was diagnosed with habit cough following evaluation by a pediatric pulmonologist and otolaryngologist. An expert in the treatment of habit cough provided instruction by telephone to the patient's mother regarding use of hypnotic techniques in this setting, which was associated with resolution of the cough within a week. Conclusion: As this report describes a single patient, it is possible that his improvement was unrelated to the given advice. Therefore, it remains to be seen whether therapy by telephone for habit cough is applicable widely. Background Childhood habit cough has been treated successfully b

Hypnosis-associated blue-tinted vision: a case report

BACKGROUND: Self-hypnosis has been taught routinely at the SUNY Upstate Medical University for treatment of pulmonary symptoms thought to be amenable to psychological therapy. While using hypnosis for relaxation, four individuals, including a patient with cystic fibrosis, reported development of blue-tinted vision. Based on a search of the literature, we believe this is the first published report of hypnosis-associated blue-tinted vision. CASE PRESENTATION: The patient reported blue-tinted vision when he used hypnosis on an almost daily basis for seven years. The visual change typically occurred when he was relaxed. Moreover, a concurrent erection in the absence of sexual thoughts usually was present. The other three individuals reported blue-tinted vision after learning how to use hypnosis for relaxation as part of a group hypnosis instruction. CONCLUSION: The blue-tinted vision experienced by the individuals in this report may be the result of an hypnosis-induced primary change in cognitive processing. Additionally, as the relaxing effect of hypnosis can be associated with a reduction in blood pressure and increased blood flow, hypnosis-associated blue-tinted vision also may be related to retinal vasodilation

Hypnosis in pediatrics: applications at a pediatric pulmonary center

BACKGROUND: This report describes the utility of hypnosis for patients who presented to a Pediatric Pulmonary Center over a 30 month period. METHODS: Hypnotherapy was offered to 303 patients from May 1, 1998 – October 31, 2000. Patients offered hypnotherapy included those thought to have pulmonary symptoms due to psychological issues, discomfort due to medications, or fear of procedures. Improvement in symptoms following hypnosis was observed by the pulmonologist for most patients with habit cough and conversion reaction. Improvement of other conditions for which hypnosis was used was gauged based on patients' subjective evaluations. RESULTS: Hypnotherapy was associated with improvement in 80% of patients with persistent asthma, chest pain/pressure, habit cough, hyperventilation, shortness of breath, sighing, and vocal cord dysfunction. When improvement was reported, in some cases symptoms resolved immediately after hypnotherapy was first employed. For the others improvement was achieved after hypnosis was used for a few weeks. No patients' symptoms worsened and no new symptoms emerged following hypnotherapy. CONCLUSIONS: Patients described in this report were unlikely to have achieved rapid improvement in their symptoms without the use of hypnotherapy. Therefore, hypnotherapy can be an important complementary therapy for patients in a pediatric practice

Syndepositional diagenetic control of molybdenum isotope variations in carbonate sediments from the Bahamas

© 2016 Elsevier B.V. Molybdenum (Mo) isotope variations recorded in black shales provide important constraints on marine paleoredox conditions. However, suitable shales are not ubiquitous in the geologic record. Moreover, reliable reconstruction of Mo isotope records from shales requires deposition from a water column containing very high concentrations of sulfide-a condition which is both rare and difficult to verify with certainty when examining preserved sediments. The utility of Mo isotopic records could be improved if reconstructions were possible using alternative lithologies, such as marine carbonates, which are more abundant in the geologic record.Here, we focus on the role of early diagenesis in determining the Mo isotopic composition preserved in shallow-water carbonate sediments from four push cores collected in different shallow-water depositional environments in the Bahamas. In contrast with carbonate primary precipitates, which generally contain 10 ppm Mo). The extent of this authigenic enrichment appears to be driven by high concentrations of hydrogen sulfide in the porewaters. In cores with the least authigenic Mo enrichment and lowest pore water sulfide, Mo isotopes are ~1-1.2‰ lighter than seawater, while cores with greater Mo enrichments and higher pore water sulfide approach seawater Mo isotope values (2.2-2.5‰), even under oxic bottom water conditions. However, the sensitivity of bulk carbonate δ98Mo to syndepositional diagenetic conditions potentially complicates interpretation of a carbonate Mo isotope paleoredox proxy. Robust reconstruction of seawater Mo isotopic composition from carbonates will thus require the ability to place constraints on early diagenetic conditions of pore waters at the time of deposition. We show that in order to record seawater Mo isotope values, carbonate pore waters must contain 50-100 μM H2Saq, which is achieved only in organic- and sulfide-rich carbonate sediments

Methyl bromide: Ocean sources, ocean sinks, and climate sensitivity

The oceans play an important role in the geochemical cycle of methyl bromide (CH_3Br), the major carrier of O_3-destroying bromine to the stratosphere. The quantity of CH_3Br produced annually in seawater is comparable to the amount entering the atmosphere each year from natural and anthropogenic sources. The production mechanism is unknown but may be biological. Most of this CH_3Br is consumed in situ by hydrolysis or reaction with chloride. The size of the fraction which escapes to the atmosphere is poorly constrained; measurements in seawater and the atmosphere have been used to justify both a large oceanic CH_3Br flux to the atmosphere and a small net ocean sink. Since the consumption reactions are extremely temperature-sensitive, small temperature variations have large effects on the CH_3Br concentration in seawater, and therefore on the exchange between the atmosphere and the ocean. The net CH_3Br flux is also sensitive to variations in the rate of CH_3Br production. We have quantified these effects using a simple steady state mass balance model. When CH_3Br production rates are linearly scaled with seawater chlorophyll content, this model reproduces the latitudinal variations in marine CH_3Br concentrations observed in the east Pacific Ocean by Singh et al. [1983] and by Lobert et al. [1995]. The apparent correlation of CH_3Br production with primary production explains the discrepancies between the two observational studies, strengthening recent suggestions that the open ocean is a small net sink for atmospheric CH_3Br, rather than a large net source. The Southern Ocean is implicated as a possible large net source of CH_3Br to the atmosphere. Since our model indicates that both the direction and magnitude of CH_3Br exchange between the atmosphere and ocean are extremely sensitive to temperature and marine productivity, and since the rate of CH_3Br production in the oceans is comparable to the rate at which this compound is introduced to the atmosphere, even small perturbations to temperature or productivity can modify atmospheric CH_3Br. Therefore atmospheric CH_3Br should be sensitive to climate conditions. Our modeling indicates that climate-induced CH_3Br variations can be larger than those resulting from small (±25%) changes in the anthropogenic source, assuming that this source comprises less than half of all inputs. Future measurements of marine CH_3Br, temperature, and primary production should be combined with such models to determine the relationship between marine biological activity and CH_3Br production. Better understanding of the biological term is especially important to assess the importance of non anthropogenic sources to stratospheric ozone loss and the sensitivity of these sources to global climate change

Self-hypnosis for anxiety associated with severe asthma: a case report

BACKGROUND: Management of asthma can be complicated by both medical and psychiatric conditions, such as gastroesophageal reflux, chronic sinusitis, and anxiety. When symptoms of asthma are interpreted without regard to such conditions treatment may yield a suboptimal outcome. For example, anxiety-associated dyspnea, tachypnea, and chest tightness can be mistakenly interpreted as resulting from an exacerbation of asthma. Medical treatment directed only for asthma may thus lead to overuse of asthma medications and increased hospitalizations. CASE PRESENTATION: The described case illustrates how a systemic steroid-dependent patient with asthma benefited from receiving care from a pediatric pulmonologist who also was well versed in the diagnosis and treatment of anxiety. By using self-hypnosis, the patient was able to reduce her dependence on bronchodilators. Following modification of her medical therapy under supervision of the pulmonologist, and regular use of hypnosis, the patient ultimately was weaned off her systemic steroid therapy. CONCLUSIONS: This report emphasizes that anxiety must be considered as a comorbid condition in the treatment of asthma. Self-hypnosis can be a useful skill in the treatment of a patient with anxiety and asthma