Emotional appraisal in humans is often considered a centrally mediated process by which sensory signals, void of emotional meaning, are assessed by integrative brain structures steps removed from raw sensation. We review emerging evidence that the emotional value of the environment is coded by nonvisual sensory systems as early as the sensory receptors and that these signals inform the emotional state of an organism independent of sensory cortical processes. We further present evidence for cross-species conservation of sensory projections to central emotion-processing brain regions. https://www.selleckchem.com/products/ms023.html Based on this, we argue not only that emotional appraisal is a decentralized process, but that all human emotional experience may reflect the sensory experience of our ancestors.
To avoid long-term effects associated with permanent implants, bioresorbable vascular scaffolds were developed, as they provide transient vessel support and disappear thereafter. The aim of the BIOSOLVE-II and -III studies was to assess the safety and performance of a magnesium-based sirolimus-eluting scaffold; we report the clinical outcomes at 3years, 2years after scaffold resorption.
BIOSOLVE-II and BIOSOLVE-III are international, prospective multi-center studies, including 184 patients with 189 de novo lesions and stable or unstable angina, or documented silent ischemia. Acute myocardial infarction, 3-vessel coronary artery disease, and heavily calcified lesions were excluded. Antiplatelet therapy was recommended for 6 months.
Patients were 65.5±10.8years old, and lesions were 12.1±4.5mm long and located in vessels with a diameter of 2.7±0.4mm. More than half of the lesions (56.5%) were type B2/C lesions. At 2years, 92.5% (160/173) of patients were symptom-free and 91.5% (151/165) at 3years; all theas 6.3%, consisting of 4 cardiac deaths (2.3%), one target-vessel myocardial infarction (0.6%), and 6 clinically driven target lesion revascularizations (3.4%). There was no definite or probable scaffold thrombosis.
Primary dysmenorrhea (PD) is a chronic health condition that affects primarily young women and interferes with daily activities, causes loss of work productivity, and reduces quality of life. Transcutaneous electrical nerve stimulation (TENS) is a complementary and alternative therapy used to reduce pain related to PD. The purpose of this meta-analysis study was to evaluate the effectiveness of TENS in the treatment of pain in women with PD.
A search of the English literature in the Cochrane Library, MEDLINE (EBSCO), Physiotherapy Evidence Database (PEDro), CINAHL (EBSCO), PUBMED, OVID, Science Direct, Scopus, Academic Search Complete databases was conducted using combinations of the following search terms 'primary dysmenorrhea', 'pain', 'transcutaneous electrical nerve stimulation', 'TENS', and 'electrical stimulation'. All content from database inception through April 2020 was included in the search.
The initial search strategy based on date range and language yielded 571 relevant records and 4 of them were about both TENS and PD. A total of 260 patients were enrolled in the included studies. In all of the included studies, the comparison intervention consisted of sham TENS. The primary outcome of interest was pain intensity. Our analysis indicated that TENS was statistically more effective than sham TENS in reducing PD-related pain (SMD=1.384; 95% CI=0.505, 2.262; p=0.002).
TENS is a safe and well-tolerated electrophysical therapy that may be effective for relieving pain in PD.
TENS is a safe and well-tolerated electrophysical therapy that may be effective for relieving pain in PD.
Mediumship is understood as a kind of spiritual experience in which a person (i.e., a medium) claims to be in communication with, or under the control of, spiritual beings. In the last decades there has been a resurgence of studies on psychological, psychiatric and neuroscientific aspects of mediumship, as well as studies assessing the claim that mediums can obtain anomalous information from deceased persons.
To assess the evidence for anomalous information reception about deceased people in texts produced through alleged mediumistic writing (psychographic letters) under strictly controlled experimental conditions.
Eight mediums and ninety-four sitters participated in the study. Eighteen mediumistic writing sessions were carried out using blind proxy sitters. Later, each sitter received the target mediumistic letter and five control letters paired by gender and age. Sitters blindly scored the accuracy of the six letters both with a global score and for each of the objectively verifiable items of information presented on the letters. Scores from target and control letters were compared.
There was no difference in global evaluation and specific fit scores between control and target letters. The mediums involved in the research were not able to show evidence for providing anomalous information about deceased people when under our strict controlled conditions. We argue for establishing a reasonable compromise between ecological validity and controlled condition.
There was no difference in global evaluation and specific fit scores between control and target letters. The mediums involved in the research were not able to show evidence for providing anomalous information about deceased people when under our strict controlled conditions. We argue for establishing a reasonable compromise between ecological validity and controlled condition.
The Response Evaluation Criteria in Solid Tumors (RECIST) are used to define degrees of response to chemotherapy. For accelerated response evaluation, early tumor shrinkage (ETS) of≥ 20% has been suggested as a predictor for outcome in metastatic colorectal cancer (mCRC). Together with depth of response (DpR), new alternative metrics have been provided, yielding promising outcome parameters. In this analysis, we aimed to further characterize ETS and DpR.
This analysis was based on FIRE-3, a randomized phase 3 trial comparing first-line FOLFIRI plus either cetuximab or bevacizumab in KRAS exon 2 wild-type mCRC. ETS and DpR were determined on the basis of RECIST 1.1 in a blinded radiologic review. ETS was evaluated as a categorized (≥ 20% shrinkage) and continuous parameter. The impact of baseline location and size of metastases on ETS and DpR were evaluated by univariate and multivariate analyses.
Of 592 patients, 395 (66.7%) had data available for radiologic review. Median continuous ETS for lung, liver, and suspected lymph node metastases was 20%, 23%, and 30%, respectively.