Anticipation of pain and of pain control under hypnosis: Heart rate and blood pressure responses in the cold pressor test.

Studied heart rate and systolic blood pressure changes anticipatory to 3 stress conditions: (a) ice water pain to be felt at normal levels in the hypnotic nonanalgesis condition, (b) absent or greatly reduced ice water pain to be experienced following hypnotic analgesia suggestions, and (c) the pain of ice water to be hallucinated, with no ice water stimulation. Ss were 18 highly responsive hypnotic undergraduates; 12 of the Ss were also experienced in hallucination. Despite the absence of pain, the maximum anticipatory rises in both physiological indicators appeared when the analgesic condition was anticipated. The anticipation of hallucinated pain also led to a rise greater than that in anticipation of experienced physically produced pain. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Azathioprine in patients with juvenile chronic arthritis: a longterm followup study

OBJECTIVE: To evaluate drug survival, efficacy, side effects, and longterm toxicity of azathioprine treatment in patients with juvenile chronic arthritis (JCA). METHODS: In an uncontrolled, prospective study we evaluated 129 consecutive patients with JCA refractory to therapy in whom azathioprine treatment was begun during 1980-1989. In the first 29 patients, a 2 year trial was planned, while for the remaining 100 patients the protocol was to continue until remission or dropout. The median treatment period was 13 months (range 3 days-8.5 yrs). Patients were assessed every 2 months for 2 years for efficacy, side effects, growth and need for glucocorticoids, and outcome evaluated in late 1996. RESULTS: Remission without drugs was attained in 19 patients (15%); in addition, temporary remission in patients continuing treatment was attained in 18 cases (14%). Treatment was discontinued due to side effects in 18 cases (14%); in two-thirds of these cases side effects occurred during the first 2 months. Of the total number of patients, 49 (38%) completed 2 years of treatment, with significant improvement in both clinical and laboratory indices of disease activity. Treatment had no noticeable effect on iridocyclitis. One patient died of cytomegalovirus infection during azathioprine treatment. CONCLUSION: Azathioprine is a useful drug in severe JCA, with a sustained effect and acceptable side effects. Even in cases of incomplete remission, its glucocorticoid sparing effect was noteworthy.     

Anxiety level of schizophrenic and control patients and their parents.

Rated 24 good and 24 poor male schizophrenic patients, 24 nonschizophrenic male psychiatric patients, and the parents of each for anxiety prior to and during a difficult family interaction. 2 techniques to measure anxiety on the basis of speech were employed. Some results, such as that the poor schizophrenics were the most anxious of the patients, are consistent with general beliefs and prior research. However, most results present a picture of the schizophrenic patient and his parents that is dramatically different from what most theories and research suggest. Parents did not appear to be upsetting to the patient, even when their behavior was very noxious. If the family plays a role in schizophrenia, findings suggest this role is quite different from what is widely believed. (33 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Beliefs of foster parents regarding the children in their care and their natural parents

The propagation of pluripotential mouse embryonic stem (ES) cells is sustained by leukemia inhibitory factor (LIF) or related cytokines that act through a common receptor complex comprising the LIF receptor subunit (LIF-R) and the signal transducer gp130. However, the findings that embryos lacking LIF-R or gp130 can develop beyond gastrulation argue for the existence of an alternative pathway(s) governing the maintenance of pluripotency in vivo. In order to define those factors that contribute to self-renewal in ES cell cultures, we have generated ES cells in which both copies of the lif gene are deleted. These cells showed a significantly reduced capacity for regeneration of stem cell colonies when induced to differentiate, confirming that LIF is the major endogenous regulatory cytokine in ES cell cultures. However, self-renewal was not abolished and undifferentiated ES cell colonies were still obtained in the complete absence of LIF. A differentiated, LIF-deficient, parietal endoderm-like cell line was derived and shown to support ES cell propagation via production of a soluble, macromolecular, trypsin-sensitive activity. This activity, which we name ES cell renewal factor (ESRF), is distinct from members of the IL-6/LIF family because (i) it is effective on ES cells lacking LIF-R; (ii) it is not blocked by anti-gp130 neutralizing antibodies; and (iii) it acts without activation of STAT3. ES cells propagated clonally using ESRF alone can contribute fully to chimaeras and engender germline transmission. These findings establish that ES cell pluripotency can be sustained via a LIF-R/gp130-independent, STAT-3 independent, signaling pathway. Operation of this pathway in vivo could play an important role in the regulation of pluripotency in the epiblast and account for the viability of lifr -/- and gp130 -/- embryos.     

Combined evaluation of pupillary and cardiovascular responses to cold pressor test in cluster headache patients

Little is known about the structures and mechanisms involved in the pathophysiology of cluster headache (CH). In this study, pupillary and cardiovascular responses to the cold pressor test (CPT) were monitored in CH patients during either an active phase of disease or a remission period in order to evaluate the oculocephalic and cardiovascular functioning of the autonomic nervous system in this form of idiopathic headache. CH patients showed a specific pattern of pupillary response on both sides during both phases of the disease. This response differed from that of controls because of an absent miosis. The pressor response to CPT was more marked in CH patients than in controls. Naloxone pretreatment caused specific and selective changes in both the pupillary and cardiovascular responses of CH patients. These data suggest a systemic sympathetic hyperactivation in response to CPT in CH patients. An oculocephalic sympathetic hypofunction is possibly associated as well as an altered opioid neuromodulation.     

Angiotensin III-induced dipsogenic and pressor responses in rodents.

Three experiments examined responses to angiotensins in 64 male Sprague-Dawley rats, 64 male Mongolian gerbils, and 40 Octodon degus—a South American rodent. In Exp I, injections of [des-Asp–1]-angiotensin I ([des-Asp–1]-AI), angiotensin II (AII), and angiotensin III (AIII), at doses of .001–2 mg/kg (sc), induced drinking in the rat and degus, but not in the gerbil. In Exp II, pretreatment with captopril (50 mg/kg), an angiotensin converting enzyme inhibitor, prevented the endogenous conversion of sc injected [des-Asp–1]-AI to AIII and prevented drinking in rats and degus. The pharmacological artifact of hypovolemia caused by angiotensin-induced increases in vascular permeability was not observed in members of these species. In Exp III, blood pressure changes resulting from injections of AII and AIII in rats and gerbils were measured. Significant pressor elevations were seen following the administration of both analogs, although AII was more potent. Results demonstrate that AIII is dipsogenic in rats and degus and serves as a pressor agent in rats and gerbils. No explanation was found for the gerbil's relative lack of dipsogenicity to the presently tested angiotensins. (54 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anxiety responses of parents during and after the hospitalization of their 5- to 11-year-old children

Pemphigus vulgaris (PV) is an autoimmune disease of the skin and mucous membranes characterized by an autoantibody response against an epidermal cadherin. We performed high resolution HLA class II typing in 19 patients with PV from Rawalpindi, Pakistan and 19 non-Jewish European PV patients from Boston by sequence-specific oligonucleotide probe hybridization. The results were compared with two separate ethnically matched control populations. WE found that PV patients from Pakistan had significantly increased frequencies of DRB1*1404 (p = 0.01), DQA1*0101 (p = 0.02), and DQB1*0503 (p = 0.01). Among the patients of non-Jewish European ancestry, DRB1*1401 (p < 10(-6)), DQA1*0101 (p < 10(-5)) and DQB1*0503 (p < 10(-6)), were increased in PV patients. Formal linkage analysis between the major histocompatibility complex and the PV antibody was performed in 67 relatives of the 19 Pakistani patients. The results showed strong evidence for linkage of HLA-DRB1*1404, DQA1*0101, DQB1*0503, with the presence of PV antibody in relatives' families with a significant logarithm of the odds score of 6.06. Based on the three dimensional structure of class II molecules, we propose that HLA-DQA1*0101 and DQB1*0503, encode a negatively charged P9 peptide binding pocket of the DQ molecule and are significantly associated with susceptibility to PV in non-Jewish populations.     

The production of saliva of patients with juvenile chronic arthritis (JCA)

About 12-16 p.c. of the patients with JCA had a reduced saliva production. These were older than twelve years or belonged to the systemic form of JCA. The reduced saliva production is clinically not discernible. Enteral deviation or disturbances are observed with rheumatic arthritis. Various examinators have found a Sicca syndrome at about 6-12 p.c. of patients suffering from rheumatic arthritis (1, 2, 3). The mostly retrospective examinations do not allow a direct comparison. Up to now the Sicca syndrome has rarely been observed with the Juvenile Chronic Arthritis. This investigation is to present the quantitative production of saliva of JCA patients.     

Ethnic stereotypes: Determinants in children and their parents.

Administered a questionnaire to Canadian 9-17 yr olds (n = 157) and their parents (n = 106) to assess stereotypes about English Canadians, French Canadians, and Canadian Indians. In general, results indicate that as children grow older, their stereotypes become more consensual, less evaluative, and more similar to those in the adult community. Factor analyses of reactions to each ethnic-group label conducted separately on the children and adult samples demonstrates independent stereotype and attitude factors. Evidence was obtained which suggested 2 components of ethnic stereotypes, 1 informational and the other evaluational. Implications of this 2-factor model of ethnic stereotypes for understanding their development and change are discussed. (French summary) (19 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The social effects of juvenile chronic arthritis

We are continually expanding our knowledge of JCA and establishing our understanding on an ever-increasing knowledge base encompassing immunology, immunogenetics, physiology, psychology and sociology. The causes and treatment of this condition are multifactoral and no one discipline can hope to embrace all of them. Nurses, particularly those with rheumatological and/or paediatric expertise, are uniquely placed to provide the link between patient, the family and health care team and thus to coordinate treatment and ensure that care meets the needs of youngsters with JCA and their families.     

Seasonal onset of systemic-onset juvenile rheumatoid arthritis

1. To examine the effects of sustained resistive loading on the relationship between inspiratory effort sensation and respiratory drive (P0.1) and to determine if the change in CO2 responsiveness after sustained loading is accompanied by altered effort perception, hypercapnic responses were measured before, immediately after and 15 min after sustained resistive loading in seven subjects (six men, one woman). Sustained resistive loading was set to exceed a diaphragm tension-time index of 0.2. 2. Mean time to task failure during sustained loading was 17.7 min (range 12.5-22.5 min). The mean inspiratory effort sensation score rose from 3.4 (SEM 0.8) to 8.1 (0.8), whereas P0.1 fell from 29.5 (3.6) to 18.1 (3.6) cmH2O. 3. Immediately after loading the slopes of the ventilatory and sensory responses to CO2 fell (ventilatory response: before loading 16.7 (2.4) lmin-1kPa-1, immediately after loading 7.88 (2.18)lmin-1kPa-1; sensory response: before loading 1.95 (0.38) units/kPa; immediately after loading 1.12 (0.38) units/kPa; P < 0.05. Changes reverted to preloading levels by 15 min. 4. Sustained loading can lead to a dissociation between respiratory drive, as reflected by P0.1, and inspiratory effort sensation, and this disturbance can persist once the load is removed. Impaired sensory perception may be the primary determinant of the change in CO2 responsiveness seen after sustained resistive loading.     

Delinquents' perceptions of their parents.

The Parent-Child Relations questionnaire was administered to 30 delinquent boys, mean age 15 yr., and to a matched group of nondelinquents. The 1st hypothesis concerning a significant difference between the delinquent and nondelinquent boys in their perceptions of their parents, with the latter group holding more favorable attitudes, was clearly confirmed. The 2nd hypothesis concerning greater difference between the 2 groups in their perceptions of their fathers than their mothers was also confirmed. The unfavorable attitude of the delinquents toward their fathers was especially marked on the Rejecting and Neglecting scales. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical and radiographic evaluation of juvenile rheumatoid arthritis: report of a case

Rheumatoid arthritis (RA) is an inflammatory disease of the synovium which may lead to proliferative and degenerative changes in the body's joints, including the temporomandibular joint (TM Joint). Although the exact etiology of rheumatoid arthritis remains unknown, it is suspected that the disease is often initiated by an infectious organism, or by genetic and/or environmental factors. Juvenile rheumatoid arthritis (JRA) is a chronic disease of childhood with a spectrum of joint involvement and associated systemic and other organ involvement. Five percent of all rheumatoid arthritis patients are children. In the United States, approximately 150,000 children are affected by JRA. With upper limb involvement, routine oral hygiene procedures become difficult. Dental evaluations/screenings may not be included in the initial team assessment of these patients until the TM Joint is affected; however, prior to this time, the patient may have had years of poor oral hygiene which could contribute to severe decay and early tooth loss. This case report describes the oral health status of a child with polyarticular juvenile rheumatoid arthritis and the specific recommendations for dental management.