[Impact of a multicomponent program with nonpharmacological therapies for patients with chronic pain]. / Impacto de un programa multicomponente con terapias no farmacológicas para pacientes con dolor crónico.

INTRODUCTION: 25.9% of Spanish people suffer from chronic pain. An integrated, interdisciplinary approach is recommended, with pharmacological and non-pharmacological therapies, involving patients in their self-care. OBJECTIVE: To evaluate the effectiveness and impact on resources of a program with non-pharmacological therapies in the control of non-oncological chronic pain in the short and medium term. MATERIAL AND METHODS: Quasi-experimental before-after study, follow-up 3-6 months, measuring: pain, well-being, quality of life, self-esteem, resilience, anxiety/depression (validated scales); patient-reported outcomes of workshop impact on pain management, habits and mood; ED and office visits; drug consumption and employment status. RESULTS: One hundred and forty-two patients completed the program; 131 (92.3%) were women, age: 56.0. Decreased: pain (scale 0-10) (start: 6.0; end of workshop: 4.0; 3 months: 5.0); anxiety (12.9; 10.4; 8.8) and depression (12.3; 7.23; 6.47) (scales 0-21). They increased: well-being (scale 0-10) (4.0; 6.0; 4.0); quality of life (scale 0-1) (0.418; 0.580; 0.536); health status (scale 0-100) (47.5; 60.0; 60.0); self-esteem (scale 9-36) (24.1; 27.5; 26.7); resilience (scale 6-30) (14.8; 17.4; 18.6). Patient-reported outcomes were performed by 136 patients at the end of the workshop and 79 at 3 months: pain decreased (end of program: 104, 76.5%; 3 months: 66, 83.5%); medication decreased (96, 76.2%; 60, 78.9%); habits improved (112, 88.2%; 69, 90.8%). Forty patients (37.4%) reduced visits to the emergency room, 40 (37.4%) reduced scheduled visits. Overall satisfaction: 9.8 out of 10. CONCLUSIONS: Patients learn to mitigate their pain, participate in their self-care and improve their quality of life, self-esteem and emotional state. The effects remained for 3-6 months.

Variety enhances food intake in humans: role of sensory-specific satiety.

Twenty-one subjects were studied to evaluate the effect of renewal of sensory stimulations of previously eaten foods on sensory-specific satiety and intake. The subjects ate French fries then brownie cakes ad libitum in three situations: "monotonous" - fries then brownies were consumed alone; "simultaneous" - condiments (ketchup and mayonnaise for the fries, vanilla cream and whipped cream for the brownies) were added during intakes; "successive" - after intake of fries alone, ketchup then mayonnaise were available with fries and, after intake of brownies alone, vanilla cream then whipped cream were offered with brownies. The quantities eaten in the "simultaneous" and "successive" situations were higher (p<0.001) than those in the "monotonous" one (1485+/-582 and 1682+/-777 kcal vs 1195+/-552 kcal, respectively). In the "successive" situation, hedonic ratings for fries diminished during intake but increased after the introduction of ketchup, leading to additional intake of fries. Similarly, hedonic ratings for brownies diminished during intake and increased after the introduction of vanilla cream leading to additional brownie intake (mayonnaise and whipped cream had no significant effect). Food variety, obtained by adding condiments can increase food intake in the short term. The mechanism by which food consumption is increased after the addition of condiments is introduced is at least partly related to the attenuation of sensory-satiety for a given food.

Distributed natural gas venting offshore along the Cascadia margin.

Widespread gas venting along the Cascadia margin is investigated from acoustic water column data and reveals a nonuniform regional distribution of over 1100 mapped acoustic flares. The highest number of flares occurs on the shelf, and the highest flare density is seen around the nutrition-rich outflow of the Juan de Fuca Strait. We determine ∼430 flow-rates at ∼340 individual flare locations along the margin with instantaneous in situ values ranging from ∼6 mL min-1 to ∼18 L min-1. Applying a tidal-modulation model, a depth-dependent methane density, and extrapolating these results across the margin using two normalization techniques yields a combined average in situ flow-rate of ∼88 × 106 kg y-1. The average methane flux-rate for the Cascadia margin is thus estimated to ∼0.9 g y-1m-2. Combined uncertainties result in a range of these values between 4.5 and 1800% of the estimated mean values.

Mud extrusion and ring-fault gas seepage - upward branching fluid discharge at a deep-sea mud volcano.

Submarine mud volcanoes release sediments and gas-rich fluids at the seafloor via deeply-rooted plumbing systems that remain poorly understood. Here the functioning of Venere mud volcano, on the Calabrian accretionary prism in ~1,600 m water depth is investigated, based on multi-parameter hydroacoustic and visual seafloor data obtained using ship-borne methods, ROVs, and AUVs. Two seepage domains are recognized: mud breccia extrusion from a summit, and hydrocarbon venting from peripheral sites, hosting chemosynthetic ecosystems and authigenic carbonates indicative of long-term seepage. Pore fluids in freshly extruded mud breccia (up to 13 °C warmer than background sediments) contained methane concentrations exceeding saturation by 2.7 times and chloride concentrations up to five times lower than ambient seawater. Gas analyses indicate an underlying thermogenic hydrocarbon source with potential admixture of microbial methane during migration along ring faults to the peripheral sites. The gas and pore water analyses point to fluids sourced deep (>3 km) below Venere mud volcano. An upward-branching plumbing system is proposed to account for co-existing mud breccia extrusion and gas seepage via multiple surface vents that influence the distribution of seafloor ecosystems. This model of mud volcanism implies that methane-rich fluids may be released during prolonged phases of moderate activity.

Spin noise spectroscopy in semiconductors.

Spin noise spectroscopy in semiconductors is an optical method that allows nearly perturbation free measurements of the spin dynamics of electrons in thermal equilibrium. The article explains the basic principles of spin noise spectroscopy and introduces an optimized experimental setup which promotes spin noise spectroscopy to an extraordinary sensitive tool. Exemplary measurements on n-doped bulk GaAs yield the temperature dependence of the electron spin relaxation time and the electron Landé g factor and reveal a dependence of the spin relaxation time on the laser probe wavelength. The magnitude and wavelength dependence of the measured spin noise signal compares well to basic calculations.

Widespread methane seepage along the continental margin off Svalbard - from Bjørnøya to Kongsfjorden.

Numerous articles have recently reported on gas seepage offshore Svalbard, because the gas emission from these Arctic sediments was thought to result from gas hydrate dissociation, possibly triggered by anthropogenic ocean warming. We report on findings of a much broader seepage area, extending from 74° to 79°, where more than a thousand gas discharge sites were imaged as acoustic flares. The gas discharge occurs in water depths at and shallower than the upper edge of the gas hydrate stability zone and generates a dissolved methane plume that is hundreds of kilometer in length. Data collected in the summer of 2015 revealed that 0.02-7.7% of the dissolved methane was aerobically oxidized by microbes and a minor fraction (0.07%) was transferred to the atmosphere during periods of low wind speeds. Most flares were detected in the vicinity of the Hornsund Fracture Zone, leading us to postulate that the gas ascends along this fracture zone. The methane discharges on bathymetric highs characterized by sonic hard grounds, whereas glaciomarine and Holocene sediments in the troughs apparently limit seepage. The large scale seepage reported here is not caused by anthropogenic warming.

Facilitation of gastric compliance and cardiovascular reaction by repeated isobaric distension of the rat stomach.

Gastric distension causes cardiovascular reactions and enhances gastric compliance. Here, we investigated how these responses are related to each other, whether they change upon repeated distension and which neural mechanisms are involved. Mean arterial blood pressure (MAP) in phenobarbital-anaesthetized rats was recorded from a carotid artery and gastric compliance determined with an electronic barostat. Runs of intermittent gastric distension were generated by stepwise increments (5 mmHg) of intragastric (IG) pressure. While gastric compliance peaked at IG pressures of 20 mmHg, the change in MAP (predominantly hypotension) was largest at IG pressures beyond 30 mmHg. Repeated distension enhanced the MAP response to IG pressures beyond 35 mmHg, whereas gastric compliance was facilitated primarily at IG pressures below 20 mmHg. This facilitation of gastric compliance depended on the magnitude of the preceding distension. The MAP response to distension was enhanced by nitric oxide synthase inhibition, inhibited by subdiaphragmatic vagotomy but hardly affected by coeliac ganglionectomy. The facilitation of gastric compliance was changed by vagotomy in a complex manner but left unaltered by the other interventions. These findings show that isobaric gastric distension elicits both MAP and gastric compliance responses whose characteristics, mechanisms and sensitization properties differ profoundly.

Direct in vivo gene transfer to airway epithelium employing adenovirus-polylysine-DNA complexes.

Adenovirus-polylysine-DNA complexes were evaluated for their capacity to accomplish direct in vivo gene transfer to airway epithelium employing a rodent model. Binary complexes containing transferrin or adenovirus, or combination complexes containing both transferrin and adenovirus, were evaluated. The highest in vitro gene transfer efficiency in primary cultures of airway epithelial cells was accomplished by the combination complexes. This result was paralleled in vivo. Transient gene expression of up to 1 week was observed with localization of the transduced cells to the region of the small airways. These results establish the feasibility of this type of approach for gene therapy applications.

Dissemination in athymic nude mice of lacZ transfected small cell lung cancer cells identified by X-gal staining.

The small cell lung cancer cell lines GLC-2 and DMS 456 were genetically labeled with the lacZ gene and examined for invasive and metastatic potential in META/Bom nude mice. The lacZ gene encodes the enzyme beta-D- galactosidase, and cells expressing this enzyme were identified by staining with the chromogenic substrate X-gal. lacZ expressing cells were investigated after subcutaneous (s.c.) inoculation and intravenous (i.v.) injection. The X-gal detection of beta-D-galactosidase activity proved to be a rapid and easy means for specific and highly sensitive identification of metastases. All primary s.c. tumors stained by X-gal. The primary tumors of GLC-2 regularly demonstrated local invasive growth and produced multiple metastases in several organs. In contrast, primary DMS 456 tumors only occasionally demonstrated local invasion and very rarely generated secondary foci. No experimental metastases were found after i.v. injection of the examined tumor lines. The results indicate an intratumoral heterogeneity among individual SCLC tumors in the capacity for invasion and metastatic spread. The different metastatic pattern of GLC-2 after s.c. and i.v. inoculation supports the hypothesis that initial steps of the metastatic cascade occurring in the primary tumor are necessary for the subsequent production of growing metastases.

[A comparison of the radiation dose from film and xeroradiography (author's transl)]. / Vergleichende Untersuchungen über die unterschiedliche Strahlenbelastung bei Film- und Xeroradiographie

Using a LiF dosimeter, comparative measurements were carried out on film mammography and xeromammography on surface and exit dose to the breast and scatter at the level of the gonads. Exit dose at 200 to 330 mR was approximately the same for both methods; incident dose at 6,800 mR for film mammography was significant higher than for xeromammography at 3,800 mR (Mo tube) or 1, 200 mR (tungsten tube). Scatter at the level of the gonads for all three methods was between 4.4 and 12.8 mR. For xeroradiography of the knee joint, the radiation dose of 466 mR was approximately three times that for a film technique (160 mR).

Isolation and characterization of biarylic structure-degrading yeasts: hydroxylation potential of dibenzofuran.

Yeast communities from heavily polluted sediments that received the discharge from oil refineries and other industries were studied. Yeast species were isolated from these sediments and their ability to degrade dibenzofuran were determined. Twenty-four different yeast strains were isolated and cultured on aromatic medium; two Candida krusei strains. Candida tenuis, Candida tropicalis, two Pichia anomala strains, Pichia haplophila, two Rhodotorula glutinis strains, Rhodotorula mucilaginosa, two Trichosporon pullulans strains and Yarrowia lipolytica were able to hydroxylate dibenzofuran. Three metabolites were identified by HPLC analysis: 3-hydroxydibenzofuran was in all the cases the most abundant isomer, and while 4-hydroxydibenzofuran was also common, 2-hydroxydibenzofuran was detected in very small quantities and with few species. In the R. glutinis and Y. lipolytica cultures a ring cleavage product was also found. While in the R. gluttinis assays the hydroxydibenzofuran was detected earlier, at 2 days' incubation time, in the other yeast experiments they were observed at the 4-5th incubation days with the maximum amounts at the 7th day. Our results confirmed the ability of autochthonous yeast species to hydroxylate dibenzofuran and to cleave the rings, and it is the first report for C. krusei, C. tenuis, P. anomala, P. haplophila and R. mucilaginosa. The ecological relevance of this study is based on the fact that dibenzofuran is a xenobiotic not easily transformed, so the catabolic activities observed in authochonous yeasts contribute to broadening the biodegradable substrate spectrum.

Alternative therapies in the treatment or oral self-injurious behavior: a case report.

This paper presents the case of a child with severe mental retardation and a history of oral self-injurious behavior (SIB). While the behavior was refractory to a number of dental interventions, some success was achieved through a combination of behavioral therapy techniques and therapeutic touch (a relaxation technique). Etiologies of SIB are discussed, along with descriptions of alternatives to traditional dental therapy for this difficult problem.

Sensory-specific satiety with simple foods in humans: no influence of BMI?

OBJECTIVE: Olfacto-gustatory sensory-specific satiety plays an important role in the termination of food ingestion. A defect in this mechanism, by increasing food intake, could be a factor in development of overweight. The present study was conducted to explore whether sensory-specific satiety in the overweight may be different from that in normal-weight subjects. SUBJECTS: 144 subjects (half men, half women; age range: 17-62 years; BMI range: 17-39 kg m(-2)). MEASUREMENTS: Olfactory pleasure (OP) and flavor pleasure (FP) were evaluated before and after ingestion of a single chosen food. Six foods from three classes were offered: cucumber and tomato, pineapple and banana, and peanut and pistachio. According to the subjects' preference for one of them, subjects were classified into six groups (24 subjects each with equal sex ratio). The experimental sequence was (1) evaluation of the six foods (OP), (2) ad libitum intake of the preferred food (FP) and (3) second evaluation of the six foods (OP). RESULTS: Food intake was limited by sensory-specific satiety (that is, a decline in FP for the ingested food) in overweight subjects just as it was in the leanest. There was no significant correlation between BMI and hedonic parameters (OP and FP) or intakes (quantity and volume). Pre-ingestive OP and FP correlated with the ingested food's weight (OP: r=0.468; FP: r=0.415; P<0.01), volume (OP: r=0.428; FP: r=0.407; P<0.01) and intake duration (OP: r=0.184; FP: r=0.343; P<0.05). The decline in OP, but not in FP, correlated with ingested weight (r=0.271, P<0.01) and volume (r=0.263, P<0.01) but not with duration. CONCLUSION: After intake of a single food, olfacto-gustatory sensory-specific satiety correlated with the ingested food's weight and volume and with the duration of ingestion, but not with bodyweight. This suggests that overweight and lean subjects have similar hedonic control of food intake with simple foods.