Beyond Patient Reported Pain: Perfusion Magnetic Resonance Imaging Demonstrates Reproducible Cerebral Representation of Ongoing Post-Surgical Pain

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Report on the evaluation of the IMD programme in Guatemala 2002 - 2003

An external evaluation was carried out in July-August 2003 to assess the results and the implementation process of the first 15 months of IMD’s programme in Guatemala. The central objective of this programme is to strengthen political parties and the party system in a sustainable way. Several unfavourable conditions limit the realisation of this ambition: (i) the political party system in Guatemala has been unstable, fragmented, polarised and discredited, (ii) political parties were often not more than electoral machines, lacking a programmatic and ideological base, and generally figured among the weakest actors in society, (iii) political participation by citizens has been very low, especially among the indigenous majority of the population. Against this background, since March 2002 IMD developed in a joint venture with UNDP an ambitious project for a multiparty dialogue process, trying to generate consensus on a shared National Agenda that reflects the basic principles of the Peace Agreements. The basic idea was that collaboration and dialogue among the parties is a prerequisite for future democratic stability, as none of the individual parties is able to sustain such a national project. Moreover, the national Congress does not function as a forum for dialogue given the polarized political climate in the country...

“Less is more”: A dose-response account of intranasal oxytocin pharmacodynamics in the human brain

Intranasal oxytocin is attracting attention as a potential treatment for several brain disorders due to promising preclinical results. However, translating findings to humans has been hampered by remaining uncertainties about its pharmacodynamics and the methods used to probe its effects in the human brain. Using a dose-response design (9, 18 and 36 IU), we demonstrate that intranasal oxytocin-induced changes in local regional cerebral blood flow (rCBF) in the amygdala at rest, and in the covariance between rCBF in the amygdala and other key hubs of the brain oxytocin system, follow a dose-response curve with maximal effects for lower doses. Yet, the effects on local rCBF might vary by amygdala subdivision, highlighting the need to qualify dose-response curves within subregion. We further link physiological changes with the density of the oxytocin receptor gene mRNA across brain regions, strengthening our confidence in intranasal oxytocin as a valid approach to engage central targets. Finally, we demonstrate that intranasal oxytocin does not disrupt cerebrovascular reactivity, which corroborates the validity of haemodynamic neuroimaging to probe the effects of intranasal oxytocin in the human brain. Data availability: Participants did not consent for open sharing of the data. Therefore, data can only be accessed from the corresponding author upon reasonable reques

Neural correlates of visuospatial working memory in the ‘at-risk mental state’

Background. Impaired spatial working memory (SWM) is a robust feature of schizophrenia and has been linked to the risk of developing psychosis in people with an at-risk mental state (ARMS). We used functional magnetic resonance imaging (fMRI) to examine the neural substrate of SWM in the ARMS and in patients who had just developed schizophrenia. Method. fMRI was used to study 17 patients with an ARMS, 10 patients with a first episode of psychosis and 15 agematched healthy comparison subjects. The blood oxygen level-dependent (BOLD) response was measured while subjects performed an object–location paired-associate memory task, with experimental manipulation of mnemonic load. Results. In all groups, increasing mnemonic load was associated with activation in the medial frontal and medial posterior parietal cortex. Significant between-group differences in activation were evident in a cluster spanning the medial frontal cortex and right precuneus, with the ARMS groups showing less activation than controls but greater activation than first-episode psychosis (FEP) patients. These group differences were more evident at the most demanding levels of the task than at the easy level. In all groups, task performance improved with repetition of the conditions. However, there was a significant group difference in the response of the right precuneus across repeated trials, with an attenuation of activation in controls but increased activation in FEP and little change in the ARMS. Conclusions. Abnormal neural activity in the medial frontal cortex and posterior parietal cortex during an SWM task may be a neural correlate of increased vulnerability to psychosis

Dopaminergic organization of striatum is linked to cortical activity and brain expression of genes associated with psychiatric illness

Dopamine signaling is constrained to discrete tracts yet has brain-wide effects on neural activity. The nature of this relationship between local dopamine signaling and brain-wide neuronal activity is not clearly defined and has relevance for neuropsychiatric illnesses where abnormalities of cortical activity and dopamine signaling coexist. Using simultaneous PET-MRI in healthy volunteers, we find strong evidence that patterns of striatal dopamine signaling and cortical blood flow (an index of local neural activity) contain shared information. This shared information links amphetamine-induced changes in gradients of striatal dopamine receptor availability to changes in brain-wide blood flow and is informed by spatial patterns of gene expression enriched for genes implicated in schizophrenia, bipolar disorder, and autism spectrum disorder. These results advance our knowledge of the relationship between cortical function and striatal dopamine, with relevance for understanding pathophysiology and treatment of diseases in which simultaneous aberrations of these systems exist

Caso clínico: bacteriemia por Erysipelothrix rhusiopathiae

Erysipelothrix rhusiopatiae es una bacteria comensal y patógena de animales, especialmente cerdos. En humanos, puede aparecer en forma de lesiones cutáneas llamada erisipeloide, es infrecuente la bacteriemia asociada o no a compromiso cutáneo. En América Latina se han comunicado solo 5 casos de bacteriemia por esta especie.Facultad de Ciencias Veterinaria

Caso clínico: bacteriemia por Erysipelothrix rhusiopathiae

Erysipelothrix rhusiopatiae es una bacteria comensal y patógena de animales, especialmente cerdos. En humanos, puede aparecer en forma de lesiones cutáneas llamada erisipeloide, es infrecuente la bacteriemia asociada o no a compromiso cutáneo. En América Latina se han comunicado solo 5 casos de bacteriemia por esta especie.Facultad de Ciencias Veterinaria