Visual distortion of body size modulates pain perception

Pain is a complex subjective experience, that can be shaped by several cognitive, psychological and even contextual variables. For example, simply viewing the body reduces the reported intensity of acute physical pain. We investigated whether this visually induced analgesia can be modulated by the visually depicted size of the stimulated body part. We measured contact heat-pain thresholds, while participants viewed either their own hand or a neutral object, at real size, enlarged, or reduced. Vision of the body was analgesic, increasing heat-pain thresholds by ~ 4°C. Importantly, enlargement of the viewed hand enhanced this analgesia, while looking at a reduced hand decreased it. These results demonstrate that visual distortions of body size modulate sensory components of pain, and reveal a clear functional relation between the perception of pain and the representation of the body

A fireworks model for Gamma-Ray Bursts

The energetics of the long duration GRB phenomenon is compared with models of a rotating Black Hole (BH) in a strong magnetic field generated by an accreting torus. A rough estimate of the energy extracted from a rotating BH with the Blandford-Znajek mechanism is obtained with a very simple assumption: an inelastic collision between the rotating BH and the torus. The GRB energy emission is attributed to an high magnetic field that breaks down the vacuum around the BH and gives origin to a e+- fireball. Its subsequent evolution is hypothesized, in analogy with the in-flight decay of an elementary particle, to evolve in two distinct phases. The first one occurs close to the engine and is responsible of energizing and collimating the shells. The second one consists of a radiation dominated expansion, which correspondingly accelerates the relativistic photon--particle fluid and ends at the transparency time. This mechanism simply predicts that the observed Lorentz factor is determined by the product of the Lorentz factor of the shell close to the engine and the Lorentz factor derived by the expansion. An anisotropy in the fireball propagation is thus naturally produced, whose degree depends on the bulk Lorentz factor at the end of the collimation phase.Comment: Accepted for publication in MNRA

Fine-grained nociceptive maps in primary somatosensory cortex

Topographic maps of the receptive surface are a fundamental feature of neural organization in many sensory systems. While touch is finely mapped in the cerebral cortex, it remains controversial how precise any cortical nociceptive map may be. Given that nociceptive innervation density is relatively low on distal skin regions such as the digits, one might conclude that the nociceptive system lacks fine representation of these regions. Indeed, only gross spatial organization of nociceptive maps has been reported so far. However, here we reveal the existence of fine-grained somatotopy for nociceptive inputs to the digits in human primary somatosensory cortex (SI). Using painful nociceptive-selective laser stimuli to the hand, and phase-encoded fMRI analysis methods, we observed somatotopic maps of the digits in contralateral SI. These nociceptive maps were highly aligned with maps of non-painful tactile stimuli, suggesting comparable cortical representations for, and possible interactions between, mechanoreceptive and nociceptive signals. Our findings may also be valuable for future studies tracking the timecourse and the spatial pattern of plastic changes in cortical organization involved in chronic pain

Linking pain and the body: neural correlates of visually induced analgesia

The visual context of seeing the body can reduce the experience of acute pain, producing a multisensory analgesia. Here we investigated the neural correlates of this “visually induced analgesia” using fMRI. We induced acute pain with an infrared laser while human participants looked either at their stimulated right hand or at another object. Behavioral results confirmed the expected analgesic effect of seeing the body, while fMRI results revealed an associated reduction of laser-induced activity in ipsilateral primary somatosensory cortex (SI) and contralateral operculoinsular cortex during the visual context of seeing the body. We further identified two known cortical networks activated by sensory stimulation: (1) a set of brain areas consistently activated by painful stimuli (the so-called “pain matrix”), and (2) an extensive set of posterior brain areas activated by the visual perception of the body (“visual body network”). Connectivity analyses via psychophysiological interactions revealed that the visual context of seeing the body increased effective connectivity (i.e., functional coupling) between posterior parietal nodes of the visual body network and the purported pain matrix. Increased connectivity with these posterior parietal nodes was seen for several pain-related regions, including somatosensory area SII, anterior and posterior insula, and anterior cingulate cortex. These findings suggest that visually induced analgesia does not involve an overall reduction of the cortical response elicited by laser stimulation, but is consequent to the interplay between the brain's pain network and a posterior network for body perception, resulting in modulation of the experience of pain

NICU Infants & SNHL: Experience of a western Sicily tertiary care centre

Introduction: The variability of symptoms and signs caused by central nervous system (CNS) lesions make multiple sclerosis difficult to recognize,Introduction: This study adds the evaluation of the independent etiologic factors that may play a role in the development of SNHL in a NICU population. We compared neonatal intensive care unit NICU infants with sensorineural hearing loss SNHL to age and gender matched normal hearing NICU controls. Materials and methods: 284 consecutive NICU infants positive to the presence of risk indicators associated with permanent congenital, delayed-onset, or progressive hearing loss underwent to global audiological assessment. The following risk factors were researched, making a distinction between prenatal and perinatal risk factors: in the first group, family history of permanent childhood hearing impairment, consanguinity, pregnant maternal infection and drugs exposition during pregnancy; in the second group, premature birth, respiratory distress, hyperbilirubinemia requiring exchange tranfusion, very low birth weight, cranio-facial abnormality, perinatal infections, ototoxic drugs administration, acidosis, hyponatremia, head trauma. Results: The analysis of the auditory deficit for infants according to numbers of risk factors showed mean values of: 78 + 28.08 dB nHL for infants positive to two risk factors; 75.71 + 30.30 dB nHL in cases positive to three risk factors; 96.66 + 34.46 dB nHL for four risk factors and 85 + 35 dB nHL in case of >5 risk factors. Conclusion: NICU infants have greater chances of developing SNHL, because of the presence of multiple risk factors; in fact, as the number of coexisting risk factors increases, the prevalence rate of SNHL also increases (r=0.81)