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Yun Li, Shengpei Wang, Chuxiong Pan, Fushan Xue, Junfang Xian, Yaqi Huang, Xiaoyi Wang, Tianzuo Li, Huiguang He
BACKGROUND: The mechanism of general anesthesia (GA) has been explored for hundreds of years, but unclear. Previous studies indicated a possible correlation between NREM sleep and GA. The purpose of this study is to compare them by in vivo human brain function to probe the neuromechanism of consciousness, so as to find out a clue to GA mechanism. METHODS: 24 healthy participants were equally assigned to sleep or propofol sedation group by sleeping ability. EEG and Ramsay Sedation Scale were applied to determine sleep stage and sedation depth respectively...
2018: PloS One
Luca Quagelli, Paola Solano
Interpretation has been looked upon for decades as the analyst's central tool to promote transformation, and it was intended as a synonym for making the unconscious conscious. Nowadays, work with patients with unrepresented mental areas has become more common and the classical conceptualizations require broadening. Reflecting and retrieving the original acceptations of Freud's word Deutung, we suggest the existence of "unconscious-to-unconscious" communications that we shall call "interpretative experiences," which can promote transformation through nonverbal communicative modes, thus getting in touch with more primitive mental functioning...
April 2016: Psychoanalytic Review
A S-R Vaisertreiger, V Iu Ivanova
A set of physiological studies proves that conscious perception of affective stimuli influence on respiratory activity. Less is known about the effect of unconscious perception of emotional information on human breathing. The aim of current research is to compare time characteristics of respiration during unconscious and conscious perception of emotional stimuli. As emotionally provocative stimuli we used natural vocalizations of 3-month-old infants in different emotional state. Both ways of acoustic presentation--first-order unconscious and second-order conscious stimuli--were applied to the one subject within one experiment with a brief inter-trial interval...
December 2014: Rossiĭskii Fiziologicheskiĭ Zhurnal Imeni I.M. Sechenova
Yuko Osugi, Takeshi Higashiura, Keiko Okada, Young Dong Park, Junichi Hara
We cared 28 life limiting children with cancer in the past five years. Two patients died at home and the rest of them died at hospitals. Most children older than 11 years understood their disease. On the other hand, poor prognosis at the end stage was not noticed precisely to most of them. We recommended that they spend time with their families as long as possible. There were some problems associated with going back home. Those were as follows: a decision making was difficult for the patients because some of them were very young or unconcious not awake, not enough time for the patient's family to get ready for a home palliative care, or the patients who need frequent transfusions...
December 2009: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Tapani Salmi
For a long time, the EEG examination has been used as a laboratory examination especially in the diagnostics of epilepsy, but both technical difficulties and problems in interpretation have limited its use in emergency medicine outside special neurological intensive care units. Development of monitoring technology and easier data transfer is making EEG monitoring possible also in the emergency area. The greatest need focuses on the diagnostics and treatment of status epilepticus underlying an unclear unconsciousness...
2009: Duodecim; Lääketieteellinen Aikakauskirja
Albert Schrut
A clinical observation suggests a hypothesis that differs from classical analytic oedipal theory as to the origin and psychodynamics of a type of male sexual masochism. This type of masochism may occur when a painful childhood life experience regarding severely forbidden sexual pleasure is associated and amalgamated with shame, humiliation, and feared physical and psychological punishment resulting in sexual pleasure. If this takes place with sufficient frequency during the critical phases of childhood sexual development, possibly including early adolescent sexual development, it becomes recorded as long-term memory in brain neural networks...
2005: Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry
Loren A Bauman, Michael L Cannon, John McCloskey, Sharon Allen, Robert L James, Joseph R Tobin, George D Politis
BACKGROUND: We report the evaluation of six sedative-hypnotic and analgesic combinations administered to children undergoing brief periods of unconscious (or deep) sedation for painful procedures. METHODS: In a prospective, open-label, randomized, controlled study of six groups of 27-30 children each, patients were randomly assigned to receive propofol or methohexital for sedation-hypnosis, and one of three incremental doses of fentanyl or remifentanil, respectively...
October 2002: Paediatric Anaesthesia
D Breitmeier, T Passie, F Mansouri, K Albrecht, W J Kleemann
We present a rare case of an autoerotic accident involving a fatal combination of asphyxia by suffocation and intoxication with self-administered intravenous ketamine. Of note in this case is the fact that the victim was an emergency medical technician. Ketamine causes complete analgesia with superficial unconciousness and amnesia called "dissociative anasthesia". Futhermore low anaesthetic doses of ketamine induce alterations in mood, cognition and body image and the substance is an emerging drug of abuse...
April 2002: International Journal of Legal Medicine
E A Vohra, W U Ahmed, M Ali
OBJECTIVE: To see the etiology and prognostic factors related to mortality of patients with stroke. METHODS: Retrospective analysis of patients admitted with stroke in two hospitals of same locality over 8 years. RESULTS: Of the 12,454 cases admitted in medical units of hospital 796 (6.4%) had stroke. Majority of cases were between 4th and 6th decades of life. Fifty percent (304/606) were hypertensive, 19% (113/606) had cardiac disease and 18% (112/606) diabetes mellitus...
July 2000: JPMA. the Journal of the Pakistan Medical Association
M Kimura, J Fujiyama, A Nagai, M Hirayama, M Kuriyama
Convulsive seizure with unconciousness is an adverse effect of new quinolone antibiotics including fleroxacin. A block of GABA receptor in CNS has been reported as pathomechanism. A 48-year-old female patient with Machado-Joseph disease (MJD) had encephalopathy induced by fleroxacin. She revealed unconsciousness after the administration of fleroxacin (200mg/day) for three days. Electroencephrogram (EEG) showed diffuse slow waves. The administration was discontinued and her consciousness became clear after a day...
September 1998: Rinshō Shinkeigaku, Clinical Neurology
P Bischoff, L Plümer, J Scholz, K Drögemeier, G von Knobelsdorff, J Schulte am Esch
UNLABELLED: Electrophysiological parameters are well-suited to detect changes in cerebral function. The present study investigates whether balanced anaesthesia with remifentanil during nociceptive stimulation is associated with changes in clinical and electrophysiological parameters indicating inadequate depth of anaesthesia. Following IRB approval and written informed consent, 23 patients (ASA: I; age: 36 +/- 11) scheduled for elective gynaecological laparoscopy were included in the study...
1998: Anaesthesiologie und Reanimation
V Lemaitre-Sillère
From the hypothesis that vitality and creativity in the individual depend on the quality of the dialogue between the ego and the unconcious, the author seeks to show from observations of infant-parent interactions how this dialogue develops. The notion of the experience of the self helps us to describe the way in which mother and baby act upon each other like living mirrors, each reflecting for the other an image of the self. Maternal care, as long as it is disengaged from the sexual excitation, both erotic and aggressive, with which it is charged for each of the partners in the interaction, allows the self to be projected on to the infant's body; the ego-self dialogue then develops its roots in the bodily experience of the infant as it interacts with the world...
October 1998: Journal of Analytical Psychology
K J Heath, G S Samra, G E Davis, A B Wilmink, A W Wilson
Intubation at the site of accident is often necessary for patients who have sustained significant head injuries. Propofol can attenuate the hypertensive response to intubation, and cause hypotension in anaesthetic doses which can be greatly exaggerated in hypovolaemic patients. We studied nine patients with isolated head injuries and 11 multiply injured patients with associated head injuries. Patients were resuscitated and then intubated with a small dose of propofol, titrated to ensure unconciousness, and then suxamethonium...
1994: Injury
J Chazal, P Janny, B Irthum, P Kauffmann
The case of a 56 year old female suffering from a carcinomatous meningitis with recurrent attacks of unconciousness is presented. The ischemic nature of the attacks was substantiated through a simultaneous recording of ICP, systemic arterial blood pressure, and EEG. Every syncope was clearly accompanied by 1) a typical ICP plateau-wave, 2) a systemic blood pressure wave of lower amplitude, 3) a considerable correlative diminution of the cerebral perfusion pressure and 4) a slowing down of the EEG. These phenomenons could be provoked by intraventricular injections of a few milliliters of artificial CSF, whereas a ventriculo-peritoneal shunting made them disappeared...
1984: Neuro-Chirurgie
J Sato, H Masuzawa, K Shiraishi, I Kanazawa, H Kamitani
A new clinical grading of subarachnoid hemorrhage (SAH) due to ruptured aneurysm, classified by the presence or absence of vomiting, and by the duration of initial unconciousness at the time of bleeding, is proposed. Grade I: headache without vomiting, Grade II: headache, vomiting, and/or loss of consciousness lasting less than one hour, Grade III: loss of consciouness for over one hour. Grade IV: permanent unconsciousness or cerebral herniation signs. Based on the clinical records, 142 cases of ruptured cerebral aneurysms directly operated on in phases varying from peracute phase (within 72 hours) to delayed phase (22 days or over) were retrospectively analyzed...
September 1986: No Shinkei Geka. Neurological Surgery
E Arajärvi, C Lindqvist, S Santavirta, J Tolonen, O Kiviluoto
A survey of 84 victims of maxillofacial injuries sustained in road traffic accidents is presented. The material was based on the files of the Finnish National Board of Traffic Accident Investigation of the Insurance Companies, comprised the years 1972-1983 and covered the whole country. 86% of the victims were occupants of motor cars; only 24% had worn seat belts. Similarly only two of the eight motor-cyclists had worn a helmet. The majority of all victims also had other head injuries but only 24% had brain injuries; over 50% had a chest injury...
August 1986: British Journal of Oral & Maxillofacial Surgery
L Andersson, M Hultin, O Kjellman, A Nordenram, G Ramström
This paper presents a retrospective review of jaw fractures sustained by 795 individuals in the county of Stockholm from 1978-80. The material comprised 904 mandibular and 249 maxillary fractures, a total of 1.153 fractures. The present part of the study concerns the relationship between etiologic factors and fracture location. Single fractures were noted in 43% of the mandibular fractures and in 4% of the maxillary fractures. The region most frequently fractured was the mandibular condyle (19% of all fractures)...
1989: Swedish Dental Journal
R F Lax
The developmental history of pathological traits and constellations, specifically their origin in the context of the parent-child relationship, their initially adaptive nature derived from parental valuations as well as the role of identification with the aggressor, has been described. The narcissistic investment of these traits is accounted for by these factors. With character neurotics, in the first phase of treatment, the analysis of contradictions brings about a state of psychic disequilibrium. The patient, in this process, experiences a loss of self-esteem...
1989: International Journal of Psycho-analysis
H Schukowski, H Bruger, M Heinrichs, E Knorr, F Täumler
In type-I-diabetes insuline-induced hypoglycaemia is the most frequent and permanent therapeutic complication. In severe courses proceeding to unconciousness, it is essential to decide on the irritation of exclusively cortical or subcortical structures. The latter one is classified as posthypoglycaemic encephalopathy correlated with a relatively high lethality. Consequently, differential diagnosis and carefully calculated treatment are of vital importance.
August 1990: Kinderärztliche Praxis
R A Frowein
By order of the Head Injuries Committee of the W.F.N.S. the author and his coworkers give definitions of consciousness, clouding of consciouness and unconciousness or coma. Furthermore, they suggest a definition of the termination of unconsciousness, with particular reference to the transition into a stage of clouding of consciousness. Any statistical evaluation and comparison of different materials depend on the use of identical definitions. As an example, it has been shown that the duration of aa uninterrupted coma, which can be survived, becomes relatively short if in accordance with the proposed definitions the various stages of clouding of consciousness are excluded from "coma"...
1976: Acta Neurochirurgica
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