Multiple chemical sensitivity as a conditional response

Pavlovian conditioning may contribute to some cases of multiple chemical sensitivity (MCS). On the basis of the conditioning analysis, environmental stimuli (especially olfactory cues) present at the time of a toxicant overdose become associated with the toxicant and elicit aversive conditional responses. Similar associations have been reported in patients receiving chemotherapy, and the literature on such 'pretreatment nausea' in cancer patients is relevant to understanding the role of conditioning in MCS. Evaluation of the contribution of conditioning to MCS has been complicated by confounding interpretations that emphasize conditional responses with interpretations which emphasize the psychiatric status of the patient. Appreciation of the contribution of Pavlovian conditioning to MCS will lead to a better understanding of this complex disorder.

Onset and duration of action of levocabastine nasal spray in atopic patients under nasal challenge conditions

BACKGROUND

Although prior studies have documented the rapid onset of action of topical intranasal levocabastine (LEV), little is known about its duration of action under nasal challenge conditions.

OBJECTIVES

We sought to assess the onset and duration of action of escalating doses of LEV nasal spray by using a nasal allergen challenge (NAC) model.

METHODS

Eighteen asymptomatic subjects with histories of seasonal allergic rhinitis were enrolled into a randomized, single-blind, placebo-controlled, dose-ranging crossover study. Each patient was randomly assigned to receive single doses of placebo and intranasal LEV 0.1, 0.2, and 0.4 mg during 2 parts of the study. In part 1 (onset of action), NAC consisted of a single dose of allergen administered 5 minutes after study drug treatment. In part 2 (duration of action), NAC consisted of increasing doses of allergen administered 0.5, 6, 12, and 24 hours on separate days after study drug treatment. Nasal symptom scores (NSSs) and nasal peak expiratory flow rates were measured after NAC in both phases of the study. Blood samples for plasma LEV concentrations were drawn after each NAC.

RESULTS

In part 1, NSSs were significantly lower after the administration of LEV 0.1, 0.2, and 0.4 mg compared with placebo (P <.05). In part 2, NSSs were significantly lower after LEV doses of 0.2 and 0.4 mg compared with placebo at 0.5, 6, 12, and 24 hours after treatment (P <.05). The mean provocative dose of allergen required to elicit a positive nasal reaction was increased after LEV doses of 0.2 and 0.4 mg at 0.5, 6, and 12 hours after treatment. Nasal peak expiratory flow rates demonstrated no significant differences between LEV and placebo for any doses at any time points. Mean plasma LEV concentrations were low (range, 0 to 3. 7 ng/mL) after all doses and did not correlate with drug efficacy.

CONCLUSIONS

Single intranasal LEV doses of 0.1, 0.2, and 0.4 mg significantly reduced the severity of the immediate nasal response to allergen when administered 5 minutes before NAC. This protective effect against NAC continued to be present 24 hours after administration of LEV doses of 0.2 and 0.4 mg. Efficacy in blocking the reaction to NAC did not correlate with plasma LEV levels, suggesting that the inhibitory effect was due largely to topical rather than systemic effects.

Performance characteristics of a compact position-sensitive LSO detector module

We assembled a compact detector module comprised of an array of small, individual crystals of lutetium oxyorthosilicate:Ce (LSO) coupled directly to a miniature, metal-can, position-sensitive photomultiplier tube (PSPMT). We exposed this module to sources of 511-keV annihilation radiation and beams of 30- and 140-keV photons and measured spatial linearity; spatial variations in module gain, energy resolution, and event positioning; coincidence timing; the accuracy and sensitivity of identifying the crystal-of-first-interaction at 511 keV; and the effects of intercrystal scatter and LSO background radioactivity. The results suggest that this scintillator/phototube combination should be highly effective in the coincidence mode and can be used, with some limitations, to image relatively low-energy single photon emitters. Photons that are completely absorbed on their first interaction at 511 keV are positioned by the module at the center of a crystal. Intercrystal scatter events, even those that lead to total absorption of the incident photon, are placed by the module in a regular "connect-the-dot" pattern that joins crystal centers. As a result, the accuracy of event positioning can be made to exceed 90%, though at significantly reduced sensitivity, by retaining only events that occur within small regions-of-interest around each crystal center and rejecting events that occur outside these regions in the connect-the-dot pattern.

Pre-drug cues modulate morphine tolerance, striatal c-Fos, and AP-1 DNA binding

To evaluate the molecular mechanisms that mediate the effect of learning on morphine tolerance in rats, we examined striatal c-Fos, and c-Jun protein expression, and AP-1 DNA binding. Morphine paired with a conditioned stimulus (CS) led to analgesic tolerance in the presence of the CS. Rats receiving morphine unpaired with the CS displayed significantly less tolerance than paired morphine animals. Striatal c-Fos protein levels and AP-1 DNA binding activity were increased in rats receiving paired morphine compared with rats that did not receive morphine but not in rats receiving morphine without the CS. No differences were found in c-Jun levels. These results suggest that Pavlovian conditioning may account, in part, for the molecular mechanisms associated with morphine tolerance.

Surface Behavior of Spread Sodium Eicosanyl Sulfate Monolayers

The surface behavior of spread sodium eicosanyl sulfate monolayers is characterized by determining the dilational moduli from different pi/A isotherms and from surface stress relaxation experiments in the short-time range (<10 min). The elasticities derived from the pi/A isotherms differ depending on the experimental conditions. The quasi-equilibrium isotherm displays a plateau in the range of coexistence of the condensed and the expanded phases and strong increases caused by the formation of a solid-like phase. In contrast, nonequilibrium pi/A isotherms yield effective elasticities showing a maximum within the phase coexistence range. The formation of a solid phase cannot be detected because of the onset of monolayer collapse. Different stress relaxation experiments were carried out for monolayer compression and dilation using transient drop volume jumps. Depending on the experimental run, these experiments lead to consistent and complementary results with those derived from pi/A isotherms under comparable conditions. The stress recoveries yield a relaxation time, a dilation viscosity, and a parameter characterizing the homogeneity of the relaxation process. The stress relaxation is interpreted accounting for both the nonequilibrium between the monolayer and the bulk phase and the nonequilibrium within the monolayer. The influence of alkylsulfate hydrolysis on the presented results was checked. It was found that within the time scale of the experiments no influence of hydrolysis could be detected. Copyright 1998 Academic Press.

Learning and tolerance to the ataxic effect of ethanol

It has been well documented that drug-associated cues are important for the development and expression of drug tolerance. The Pavlovian conditioning analysis of tolerance emphasizes the importance of a drug-associated cues to tolerance by equating a drug administration with a learning trial. According to this analysis, tolerance should be subject to external inhibition, the disruption of a conditional response by a novel stimulus. We previously reported that tolerance to the ataxic effect of ethanol was attenuated by a novel strobe/noise presentation (31). In this article we report evidence of a compensatory CR in rats tolerant to the ataxic effect of ethanol as tested on the tilting plane. Both the compensatory CR and tolerance were disrupted by the presentation of a novel strobe/noise stimulus providing converging evidence that the attenuation of tolerance by a novel stimulus results from external inhibition of Pavlovian conditioning. The disruption of ethanol tolerance and the conditional response mediating tolerance was also apparent when the novel omission of the strobe/noise stimulus was used as the external inhibitor in rats made tolerant to ethanol with the stimulus on. Finally, we have shown that the disruptive effect of a novel stimulus on ethanol tolerance is decreased when there is a 10-day delay between the final tolerance development session and testing, demonstrating that the interval between training and testing is important when assessing associative tolerance.

Learning and homeostasis: drug addiction and the McCollough effect

The contribution of conditioned responses (CRs) to homeostasis may be seen by examining seemingly disparate phenomena of color vision (aftereffects and chromatic adaptation) and drug addiction (withdrawal symptoms and tolerance). Color aftereffects may be elicited by nonchromatic stimuli previously paired with color (the McCollough effect, [ME]). Similarly, pharmacological aftereffects may be elicited by nonpharmacological stimuli previously paired with a drug (withdrawal symptoms). The authors summarize evidence indicating that both the ME and withdrawal symptoms are CRs. The chromatic CR is expressed as chromatic adaptation in the presence of color, and the ME in the absence of color. The pharmacological CR is expressed as pharmacological adaptation (tolerance) in the presence of the drug, and withdrawal symptoms in the absence of the drug. Both drug withdrawal symptoms and the ME are manifestations of the contribution of conditioning to normal homeostatic regulation. The authors discuss the implications of this conclusion for understanding regulatory processes and the evolution of behavioral mechanisms.

Credit analysis of nonprofit continuing care retirement communities

The continuing care retirement community (CCRC) industry's growth has gained the attention of the financial community. As the industry's financial and regulatory environments change, credit analysts are developing analytical tools to evaluate these changes. The following article discusses some of these tools, provides a sample credit profile of a CCRC, and reviews recent accounting changes that will affect CCRC credit analysis.

Conditioned sucrose aversions produced by naloxone-precipitated withdrawal from acutely administered morphine

The aversive properties of acute naloxone-precipitated morphine withdrawal were examined in the taste reactivity paradigm. Acute naloxone-precipitated withdrawal paired with sucrose solution established conditioned active rejection of the sucrose solution. Active rejection of sucrose was observed when naloxone was administered both 1 h and 22 h after morphine. When the stimulus properties of morphine were present during the conditioning trial, the conditioned sucrose aversion was only expressed when the rats were tested in the same drug state in which they had learned the aversion. However, when the stimulus properties of morphine were not present during conditioning, the aversion was expressed in the absence of the morphine state. The results suggest that palatability shifts can be conditioned to sucrose paired with acute morphine withdrawal.

Isoluminance and contingent color aftereffects

In the typical induction of the orientation-contingent color aftereffect (CCAE), the stimuli are composed of elements that differ in both color and luminance. Three experiments are reported that show that chromatic contrast between stimulus elements is insufficient for the induction of the orientation-CCAE and that luminance contrast is necessary. These experiments expand on previous research concerned with the role of luminance contrast in the induction of orientation-CCAEs by eliminating alternative explanations.

Simultaneous PET and MR imaging

We have developed a prototype PET detector which is compatible with a clinical MRI system to provide simultaneous PET and MR imaging. This single-slice PET system consists of 48 2 x 2 x 10 mm3 LSO crystals in a 38 mm diameter ring configuration that can be placed inside the receiver coil of the MRI system, coupled to three multi-channel photomultipliers housed outside the main magnetic field via 4 m long and 2 mm diameter optical fibres. The PET system exhibits 2 mm spatial resolution, 41% energy resolution at 511 keV and 20 ns timing resolution. Simultaneous PET and MR phantom images were successfully acquired.

Ibogaine interferes with the establishment of amphetamine place preference learning

The ability of ibogaine, injected 24 hr before amphetamine, to modify the establishment of amphetamine-induced place preference learning was assessed. A single injection of ibogaine blocked the establishment of amphetamine place preference after 1 or 2 conditioning trials, but it was less effective after 4 trials. The reduced effectiveness of ibogaine across multiple conditioning trials appears to be the result of the development of tolerance to ibogaine.

Ibogaine interferes with the establishment of amphetamine place preference learning

The ability of ibogaine, injected 24 hr before amphetamine, to modify the establishment of amphetamine-induced place preference learning was assessed. A single injection of ibogaine blocked the establishment of amphetamine place preference after 1 or 2 conditioning trials, but it was less effective after 4 trials. The reduced effectiveness of ibogaine across multiple conditioning trials appears to be the result of the development of tolerance to ibogaine.

Compartment model for measuring myocardial oxygen consumption using [1-11C]acetate

Although [1-11C]acetate has been validated as a PET tracer for myocardial oxygen consumption (MVO2) in animals and humans, mono- and biexponential fitting of the tissue time-activity curve yields only estimates of MVO2. This study attempts to develop and validate a simple tracer kinetic model in vivo for estimation of regional MVO2.

METHODS

Twenty-seven experiments were performed in 12 anesthetized dogs with [1-11C]acetate and serial PET images under different MBF and MVO2 (baseline, ischemia, xylazine, dobutamine and dipyridamole). Estimates of MVO2 were obtained from dynamic [1-11C]acetate PET and model fitting. MBF was measured by radiolabeled microspheres, and MVO2 was calculated by the Fick method using arterial and coronary blood samples.

RESULTS

The proposed model fitted equally well for all study conditions with a multiple correlation coefficient of 0.985 +/- 0.026. Estimated MVO2 correlated linearly with measured MVO2 (y = 0.033 + 0.690x, r = 0.92, s.e. of estimates = 0.020).

CONCLUSION

This study indicates that MVO2 can be assessed with PET and [1-11C]acetate over a wide range with a simple tracer kinetic model.

Pavlovian conditioning and multiple chemical sensitivity

Pavlovian conditioning processes may contribute to some symptoms of multiple chemical sensitivity (MCS). This review summarizes the potential relevance of the literature on conditional taste and olfactory aversions, conditional sensitization, and conditional immunomodulation to understanding MCS. A conditioning-based perspective on MCS suggests novel research and treatment strategies.

Contingent color aftereffects: reassessing old conclusions

Although there is considerable evidence supporting an associative interpretation of contingent color aftereffects, there are data that appear inconsistent with this interpretation. New findings from seven experiments are presented indicating that, contrary to earlier claims, contingent color aftereffects are observed after induction with (1) single orthogonal black bars on colored backgrounds, (2) geometric forms, and (3) two orthogonal grids of the same color. The results of these experiments are relevant to an associative interpretation of contingent color aftereffects, as well as to assessing alternative interpretations of the phenomenon.

Palliative radiotherapy

Palliative radiation therapy can be useful in controlling the pain associated with tumors for which definitive therapy is not an option. The patient's quality of life is improved while side effects, hospitalization, and cost of treatment are minimized. Palliative radiation therapy should be considered as part of the oncologist's armamentarium; however, further investigations are warranted to develop appropriate protocols based on patient response.

Primary lymphoma of the calcaneus

Primary non-Hodgkin's lymphoma (NHL) of bone is a rare condition. Presented herein is a case of primary NHL of the calcaneus illustrating many of the classic features of the disease. Emphasized in this report are the nonspecific clinical and conventional radiographic features of primary NHL of bone, which may mimic inflammatory, neuropathic, infectious, or other neoplastic conditions of the extremities. The importance of early cross-sectional radiologic studies, such as magnetic resonance imaging, lies in the early characterization of the mass-like features and local extent of such lesions, helping to raise the suspicion of neoplastic disease.

Fetal ascites associated with ABO incompatibility: case report and review of the literature

We report a pregnancy complicated by anti-B isoimmunization that resulted in fetal ascites, anemia, hepatomegaly, and polyhydramnios. A previous pregnancy in the same patient was complicated by neonatal ABO incompatibility. A review of the obstetric literature suggests that ABO incompatibility may cause severe fetal anemia, especially in patients with type O blood or a previous history of ABO incompatibility of the newborn.

Magnetic resonance imaging of the musculoskeletal system. Part 5. The wrist

Musculoskeletal radiology has been transformed with the advent of magnetic resonance imaging. Magnetic resonance imaging provides visualization of the complex anatomy of the wrist and delineation of numerous pathologic processes, which are difficult to visualize with conventional imaging modalities. With the use of sophisticated pulse sequences and a dedicated extremity coil, magnetic resonance imaging allows evaluation of osseous and ligamentous injuries, arthritides, tumors, and tumor-like conditions. Magnetic resonance imaging techniques will be emphasized and anatomy and various pathologic conditions pertaining to the wrist will be reviewed.

Disruption of tolerance to the ataxic effect of ethanol by an extraneous stimulus

According to a conditioning analysis, pharmacological conditional responses (CRs) contribute to tolerance. We previously reported that, as expected on the basis of this model, tolerance to the hypothermic effect of ethanol is attenuated by "external inhibition," for instance, by presentation of a novel stimulus (a strobe). However, results of more recent research indicate that novel stimuli augment the hypothermic effect of ethanol in rats receiving the drug for the first time. It is possible, therefore, that a novel stimulus apparently attenuates ethanol tolerance because it augments ethanol-hypothermia, rather than because it functions as an external inhibitor. Two experiments were designed to evaluate external inhibition of tolerance to another effect of ethanol-ataxia. Although the initial ataxic effect of the drug (unlike the hypothermic effect) is not enhanced by a novel stimulus, the stimulus reinstated ethanol-induced ataxia in tolerant rats. The results demonstrate external inhibition of ethanol tolerance in a preparation not confounded by the effects of the novel stimulus on initial responding to ethanol.