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This, like hypnosis, has been associated with an emphasis on right hemisphere activity. Thus, clinical anxiety may render a person more responsive to hypnosis than would be indicated by a susceptibility test delivered in stress-free circumstances.The history of hypnosis has been marked by its effectiveness paralleled by prejudicial refusal, due to its ostensible incompatibility with the ruling Weltbild (picture of the world). Its interpretation has been mainly based on concepts like suggestibility, dissociation, hallucination, impairment of sense of agency, and free will. Y-27632 in vitro Nevertheless, little evidence and agreement has been reached so far on the nature of hypnosis and hypnotic ability, an uncertainty enhanced by the wide range of meanings and ambiguities of the used terms. This article analyzes the main epistemological implications involved in the topic.Chronic pain is a complex phenomenon which includes biological, psychological, and socio-professional factors that undermine patients' everyday life. Currently, only few patients significantly benefit from pharmacological treatments and many have to stop them because of negative side effects. Moreover, no medication or treatment addresses all aspects of chronic pain at once (i.e., sensations, emotions, behaviors, and cognitions), positioning chronic pain as an important public health issue and thus contributing to high health-care costs. Consequently, patients and health-care providers are increasingly turning to complementary non-pharmacological techniques such as hypnosis. Clinical research has demonstrated a decrease of pain perception, pain interference, depression and anxiety, and an increase in global quality of life when patients with chronic pain have benefited from hypnosis learning. Neuroimaging studies offer a possible explanation of these results by focusing on neural processes of pain modulation in chronic pain patients' brain. Studies conducted with chronic pain patients showed a modulation of pain matrix activity during hypnosis with a specific involvement of the anterior cingulate cortex (related to emotional and cognitive processing of pain). Therefore, hypnosis seems to act upon regions underlying emotion and cognition, with an influence on pain perception and emotional regulation. In this review, we propose to carry out a review of the recent literature on hypnosis in chronic pain management. A better understanding of the beneficial effects of hypnosis on chronic pain and its neurophysiology should enable more systematic use of this technique in the management of this complex health problem.Most of the experimental investigations on hypnosis used to compare small samples of individuals with low or high responsiveness to hypnosis by systematically excluding medium responders. The present article underlines the limitations of this methodological approach that may have partially weakened the scientific impact of hypnosis research. In fact, the mediums-neglecting bias might be one of the reasons why some investigations suffer from low replicability and generalizability. Themes such as hypnotizability scales, suggestibility, statistical power, and research design are critically reviewed with the aim of proposing a more rigorous approach that boost up impact and reliability of hypnosis research. In particular, the recruitment of medium hypnotizables and the adoption of a within-instead of a between-subjects design currently seem to be some of the best recommendations for strengthening hypnosis research, as well as to renew the dialogue between clinical and experimental hypnosis.Exploring psychophysiological changes during hypnosis can help to better understand the nature and extent of the hypnotic phenomenon by characterizing its influence on the autonomic nervous system (ANS), in addition to its central brain effects. Hypnosis is thought to induce a relaxation response, yet studies using objective psychophysiological measures alongside hypnosis protocols show various results. We review this literature and clarify the effects of hypnosis on psychophysiological indices of ANS activity and more specifically of the stress/relaxation response, such as heart rate variability and electrodermal activity. Studies reporting psychophysical measures during hypnosis were identified by a series of Pubmed searches. Data was extracted with an interest for the influence of hypnotizability and effects of specific suggestions or tasks on the findings. We found 49 studies comprising 1315 participants, 45 concerning healthy volunteers and only 4 on patients. Sixteen compared high vs. low hypnotizable people; 30 measured heart rate, 18 measured heart rate variability, 25 electrodermal activity, and 23 respiratory signals as well as other physiological parameters. Globally, results converge to show reductions in sympathetic responses and/or increases in parasympathetic tone under hypnosis. Several methodological limitations are underscored, such as older studies (N = 16) using manual analyses, small sample sizes ( less then 30, N = 31), as well as uncontrolled multiple comparisons. Nevertheless, we confirm that hypnosis leads to a physiological relaxation response and highlight promising avenues for this research. Suggestions are made for guiding future work in this field.Hypnosis is a hetero-induced or self-induced altered state of consciousness that involves focused attention and reduced peripheral awareness. It is determined by response to suggestions and can be used in the management of various clinical conditions. Nowadays there is growing attention to the neurobiological correlates of hypnosis because of its future clinical applications. The greater attention is due to the wide range of applications that might stem from its knowledge. Functional neuroimaging studies show that hypnosis affects attention by modulating the activation of the anterior cingulate cortex and other brain areas, modifying the conflict monitoring and cognitive control. During hypnoanalgesia, several changes in brain functions occur in all the areas of the pain network, and other brain areas. Among these, the anterior cingulate cortex is significantly involved in modulating the activity of pain circuits under hypnosis, both in the affective, sensory-cognitive, and behavioral aspects. The study of the functionality of the cingulate cortices, mainly the anterior and medial portions, appears to be crucial for better understanding the hypnotic phenomena, related to both the neurocognitive and somatosensory aspects.
Sorghum is an important cereal crop, cultivated for food, fodder and biofuel. Mutation breeding techniques are used to create genetic variability for qualitative and quantitative traits in crop plants. The purpose of this study was to create induced variability and estimate mutagenic effectiveness and efficiency of physical and chemical mutagens in two sorghum cultivars.
Gamma rays (100, 200, 300 and 400 Gy, Co
source, Bhabha Atomic Research Center, Mumbai, India), ethyl methane sulphonate (0.1%, 0.2%, 0.3%, and 0.4% EMS, Sigma-Aldrich, India) and their combinations were used to mutagenize 296B (rainy season) and Parbhani moti (post-rainy) cultivars. Morphological and yield traits were analyzed for enhanced variability in qualitative and quantitative traits across M
and M
generations.
Based on the mutagenic sensitivity, lethal dose at 50% survivability (LD
) for both the genotypes was found to be 269-281 Gy in case of gamma rays and 0.32-0.33% for EMS. Based on reduced germination and survivabilietween quantitative traits will help in better selection in the segregating generations.
This study has revealed wide genetic variability and better effectiveness and efficiency of the physical (300 Gy) and chemical mutagens (0.2%) and their combination (200 Gy+ 0.2%) across two sorghum genotypes. Significant correlations identified between quantitative traits will help in better selection in the segregating generations.
The mortality rate from mesenteric ischemia is reported to be as high as 80%. The goal of our study was to identify demographic and clinical predictors of post-operative mortality and discharge disposition among elderly patients with mesenteric ischemia.
All patients 65years and older who underwent emergency surgery (ES) for the management of mesenteric ischemia in the American College of Surgeons-National Surgical Quality Improvement Program database from 2007 to 2017 were included. Univariate analyses and logistic regressions were used to identify independent predictors of mortality and discharge disposition.
A total of 2438 patients met inclusion criteria, with a median age of 77years and 60.8% being female. The 30-day mortality of the overall cohort was 31.5% and the 30-day morbidity was 65.3%. The following were the major predictors of 30-day mortality pre-operative diagnosis of septic shock [OR 2.46, (95% CI 1.94-3.13)], dialysis dependence [OR 2.05, (95% CI 1.45-2.90)], recent weight loss [OR 1.80, (95% CI 1.16-2.79)], age ≥80years [OR 1.67, (95% CI 1.25-2.23)], and ventilator dependence [OR 1.65, (95% CI 1.23-2.23)]. In the absence of these predictors, survival rate was 84%. The major predictors of discharge to post-acute care (PAC) included age ≥80years [OR 3.70, (95% CI 2.50-5.47)] and pre-operative septic shock [OR 2.20, (95% CI 1.42-3.41)].
In the geriatric patient, a diagnosis of mesenteric ischemia does not equate to an automatic death sentence. The presence of certain pre-operative risk factors confers a high risk of mortality, whereas their absence is associated with a high chance of survival.
In the geriatric patient, a diagnosis of mesenteric ischemia does not equate to an automatic death sentence. The presence of certain pre-operative risk factors confers a high risk of mortality, whereas their absence is associated with a high chance of survival.
The number of liver transplant recipients (LTR) is worldwide increasing and, as the survival is improving as well, there is an increasing number of patients needing total hip arthroplasty (THA). There might be increased risks for this specific group of patients and due to their comorbidities costs might be higher too. Using a big national database outcome and cost of THA should be compared between liver transplant recipients and the general population.
The study was performed using a collection of Medicare, Medicaid, and private insurance claims. Length of stay (LOS), 30-day readmissions, complications rates up to 5 years, and 90-day total cost of care between liver transplant recipients and matched non-transplant patients should be compared. All primary THAs from 2010 to 2019 were identified. 513 patients with a liver transplant before their THA were matched to 10,759 patients without a history of solid organ transplant at a 120 ratio based on age, sex, Charlson Comorbidity Index, obesity, and diabetes status.
LTR had a longer average LOS (4.2 vs. 3.4 days,
< 0.001). There was no difference in the thirty-day readmissions (5.7% vs. 4.1%,
0.117) and 90-day dislocation rates (2.9% vs. 2.4%,
0.600). Total costs in the first ninety days after THA were not different between the LTR and controls (
0.756).
These findings suggest that complications and costs are no major point of concern in patients with liver transplant that are operated with THA.
These findings suggest that complications and costs are no major point of concern in patients with liver transplant that are operated with THA.
Read More: https://www.selleckchem.com/products/Y-27632.html
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