Effects of stress inoculation training on athletes' postsurgical pain and rehabilitation after orthopedic injury.

The efficacy of a cognitive-behavioral intervention ( stress inoculation training; SIT ) for postsurgical anxiety, pain, and physical rehabilitation in injured athletes was tested. Sixty male athletes who underwent arthroscopic surgery for miniscus injury in 1 knee were randomly assigned to either treatment (SIT and physical therapy) or control (physical therapy only) conditions. Results showed that participants in the treatment group demonstrated significantly less postsurgical pain and anxiety during the rehabilitation process, compared with controls. Additionally, treated participants required fewer days to return to criterion physical functioning, compared with nontreated participants. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Daseinsanalysis: In defense of the ontological difference.

Reviews the special issue of The Humanistic Psychologist, Psychotherapy for freedom: The daseinsanalytic way in psychology and psychotherapy edited by Erik Craig (Volume 16, Number 1, Spring 1988, 278 pp.). The editor brings together a uniquely developed collection of essays, seminars, and interviews delving into foundational as well as clinically-oriented issues regarding the application of Martin Heidegger's philosophy to the fields of psychiatry and psychotherapy. Craig's edition exhibits a cohesiveness not often found in edited volumes, and it manages to be inspiring to the more advanced reader while remaining accessible to the introductory student. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gaucher disease: recommendations on diagnosis, evaluation, and monitoring

BACKGROUND: Timely diagnosis and continued monitoring of patients with type I Gaucher disease is critical because skeletal involvement can permanently disable patients and visceral organ involvement can lead to abdominal pain and secondary hematologic and biochemical complications. OBJECTIVE: To seek clinical consensus for minimum recommendations for effective diagnosis and monitoring of patients with type I Gaucher disease. PARTICIPANTS, EVIDENCE, AND CONSENSUS PROCESS: Contributing authors collaborated in quarterly meetings over a 2-year period to synthesize recommendations from peer-reviewed publications and their own medical experiences. These physicians care for most patients with Gaucher disease in the United States and serve as the US Regional Coordinators for the International Collaborative Gaucher Group Registry, the world's largest database for this disorder. CONCLUSIONS: The definitive method of diagnosis is enzyme assay of beta-glucocerebrosidase activity. Schedules differ for monitoring complications of type I Gaucher disease, depending on symptoms and whether enzyme replacement therapy is used. Hematologic and biochemical involvement should be assessed by complete blood cell count, including platelets, acid phosphatase, and liver enzymes, at baseline and every 12 months in untreated patients and every 3 months and at enzyme replacement therapy changes in treated patients. Visceral involvement should be assessed at diagnosis using magnetic resonance imaging or computed tomographic scans. Skeletal involvement should be assessed at diagnosis using T1- and T2-weighted magnetic resonance imaging of the entire femora and plain radiography of the femora, spine, and symptomatic sites. Follow-up skeletal and visceral assessments are recommended every 12 to 24 months in untreated patients, and every 12 months and at enzyme replacement therapy changes in treated patients.     

Effects of nicotine dose and administration method on withdrawal symptoms and side effects during short-term smoking abstinence.

The effects of using several different nicotine replacement treatments on self-reported withdrawal symptoms and side effects during 2-day periods of smoking cessation, with 5 days of ad lib smoking between cessation days, were evaluated. Participants (N ?=?18) experienced the following conditions: nicotine gum, 24-hr patch, 16-hr patch, 24-hr patch plus gum, double 24-hr patch, and no nicotine replacement. The present study found morning urge to smoke was greater during the 16-hr than during the 24-hr patch condition. Double-patch use resulted in significantly greater insomnia than the smoking baseline and 16-hr patch conditions. The no medication and gum alone conditions resulted in similar withdrawal symptoms, and both tended to result in greater reported withdrawal symptoms than the smoking baseline condition. There were no significant withdrawal symptom differences between the 24-hr, patch-gum, and double-patch conditions. The 24-hr and double-patch conditions were preferred by two thirds of the participants (6 each). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recall by expert medical practitioners and novices as a record of processing attention.

Using recall of clinical protocols as a measure of expertise in medicine has yielded disappointingly small effects. Experiments using recall of clinical laboratory data are presented to provide an explanation. In one experiment, subjects either deliberately memorized or first diagnosed and then were incidentally asked for memory. With incidental instructions, experts recalled over twice as much data as did students, but with memorization instructions, student performance approximated that of experts. Experts also showed a large advantage over students in incidental recall of data that were not relevant to the problem solution. These results suggest that expert processing in this "discrete, independent inputs" domain requires effortful analysis with minimal reliance on default values, rather than relatively effortless pattern perception reported in highly visual areas of expertise. For this area, intentional memory is a misleading measure of expertise. However, incidental memory is a valuable measure of processing during diagnosis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stimulus contingencies that permit classical conditioning of opioid activity in the rat fetus.

In a prenatal model of classical conditioning, rat fetuses received presentations of an artificial nipple (conditioned stimulus; CS) paired with milk (unconditioned stimulus). Infusion of milk promotes activity in the kappa opioid system of the fetus, but after 2, 3, or 6 pairings with the artificial nipple, milk evoked both kappa and mu opioid activity. The nipple CS has no effect on opioid activity, but after pairing with milk evoked a mu opioid response. Conditioned mu opioid activity was evident in 60% of subjects tested after I paired conditioning trial. Significantly more fetal subjects (90%) exhibited conditioned opioid activity if preexposed to the nipple twice before conditioning. CS preexposure altered behavior during the conditioning trial, with preexposed fetuses showing more pronounced responses to milk infusion. Exposure to familiar stimuli facilitates classical conditioning of physiological responses, including opioid activity, during the first suckling episode. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Bilateral radial ray hypoplasia with multiple epiphyseal dysplasia

Flexion reflexes, elicited by surface stimulation, can be used to produce a simple form of stepping in spinal cord injured (SCI) humans. A drawback of this approach is a decreasing magnitude of flexion reflex to repeated presentations of the stimuli (habituation). Pilot data indicated that high intensity stimulation could produce dishabituation of the reflex. The aim of this study was to examine and quantify the inter- and intra-subject variability of the short and long term conditioning effect of high intensity stimulation on the magnitude of flexion reflexes in a larger number of SCI subjects. Dishabituation was observed in all subjects, however the amount of dishabituation observed was small and highly variable. However the use of high intensity conditioning stimulation may offer a means of coping with habituation in a small number of subjects.     

Genetic studies in neurology

The use of either direct or indirect genetic analyses in neurology is becoming ever greater as more genes are identified thanks to the human genome project. Often the methodologies are complex and difficult to understand. The aim of this review is to present various approaches to molecular diagnosis using several different inherited neurological diseases as examples. These include inherited mitochondriopathies, monogenetic disorders like trinucleotid repeat instability syndromes, duplication anomalies and specific point mutations as well as heterogenetic diseases such as limb girdle dystrophy and familial amyotrophic lateral sclerosis. Possible pathogenetic implications can now be proposed as the basis of new therapeutic modalities.     

A model for the transverse strain response of unidirectional ceramic matrix composites during tensile testing

A comprehensive micromechanical model relating the longitudinal stress and transverse strain of unidirectional fibre toughened ceramic matrix composites (CMCs) is presented. The model uses different cylindrical unit-cells to describe the composite throughout a tensile test and considers all relevant damage mechanisms. The proposed model takes into account the Poisson contraction of fibre and matrix, the relief of thermal residual stresses upon damage development, and the build-up of compressive radial stresses at the interface due to mismatch between fibre and matrix after debonding and sliding. Thus the modelled transverse strain response depends on a wide range of microstructural and micromechanical parameters. The approach is checked by comparing the experimentally observed and simulated response of a unidirectional SiC/CAS composite of which all constituent properties were determined experimentally. The agreement between experiment and theory is excellent.