What does pain signify? A hypothesis concerning pain, the immune system and unconscious pain experience under general anesthesia

Unitary and dual models of phenomenal consciousness

There is almost unanimous consensus among the theorists of consciousness that the phenomenal character of a mental state cannot exist without consciousness. We argue for a reappraisal of this consensus. We distinguish two models of phenomenal consciousness: unitary and dual. Unitary model takes the production of a phenomenal quality and it's becoming conscious to be one and the same thing. The dual model, which we advocate in this paper, distinguishes the process in which the phenomenal quality is formed from the process that makes this quality conscious. We put forward a conceptual, methodological, neuropsychological and neural argument for the dual model. These arguments are independent but provide mutual support to each other. Together, they strongly support the dual model of phenomenal consciousness and the concomitant idea of unconscious mental qualities. The dual view is thus, we submit, a hypothesis worthy of further probing and development.

Effects of oxycodone on immune function in patients undergoing radical resection of rectal cancer under general anesthesia

This study aims to explore the effect of oxycodone hydrochloride injection on the immune function of patients who underwent radical resection of rectal cancer under general anesthesia.Eighty patients were enrolled and randomly divided into group A and B (n = 40, each). All patients underwent general intravenous anesthesia. At the end of surgery, each patient in group A was injected with 5 mg (5 mL) of oxycodone hydrochloride, while 5 mg (5 mL) of morphine hydrochloride in group B. Venous blood was withdrawn in both groups at different time points. Changes in the numbers of T lymphocyte subsets and natural killer (NK) cells were determined by flow cytometry.First the numbers of T lymphocyte subsets and NK cells at T1, T2, T3, and T4 decreased in both groups, compared with those at T0, and the differences were statistically significant. Furthermore, the numbers reduced to a minimum at T2 and began to recover at T3. Second the differences between group A and B at T1, T2, T3, and T4 were statistically significant; and the numbers of T lymphocytes and NK cells were higher in group A than in group B at corresponding time points.Oxycodone hydrochloride and morphine hydrochloride both have inhibitory effects on immune function in patients undergoing radical resection of rectal cancer after surgery. However, oxycodone hydrochloride has a smaller effect compared to morphine hydrochloride.