scholarly journals The Prediction of Acute Postoperative Pain Based on Neural Oscillations Measured before the Surgery

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Qi Han ◽  
Lupeng Yue ◽  
Fei Gao ◽  
Libo Zhang ◽  
Li Hu ◽  
...  

Even with an improved understanding of pain mechanisms and advances in perioperative pain management, inadequately controlled postoperative pain remains. Predicting acute postoperative pain based on presurgery physiological measures could provide valuable insights into individualized, effective analgesic strategies, thus helping improve the analgesic efficacy. Considering the strong correlation between pain perception and neural oscillations, we hypothesize that acute postoperative pain could be predicted by neural oscillations measured shortly before the surgery. Here, we explored the relationship between neural oscillations 2 hours before the thoracoscopic surgery and the subjective intensity of acute postoperative pain. The spectral power density of resting-state beta and gamma band oscillations at the frontocentral region was significantly different between patients with different levels of acute postoperative pain (i.e., low pain vs. moderate/high pain). A positive correlation was also observed between the spectral power density of resting-state beta and gamma band oscillations and subjective reports of postoperative pain. Then, we predicted the level of acute postoperative pain based on features of neural oscillations using machine learning techniques, which achieved a prediction accuracy of 92.54% and a correlation coefficient between the real pain intensities and the predicted pain intensities of 0.84. Altogether, the prediction of acute postoperative pain based on neural oscillations measured before the surgery is feasible and could meet the clinical needs in the future for better control of postoperative pain and other unwanted negative effects. The study was registered on the Clinical Trial Registry (https://clinicaltrials.gov/ct2/show/NCT03761576?term=NCT03761576&draw=2&rank=1) with the registration number NCT03761576.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maxciel Zortea ◽  
Gerardo Beltran ◽  
Rael Lopes Alves ◽  
Paul Vicuña ◽  
Iraci L. S. Torres ◽  
...  

AbstractSpectral power density (SPD) indexed by electroencephalogram (EEG) recordings has recently gained attention in elucidating neural mechanisms of chronic pain syndromes and medication use. We compared SPD variations between 15 fibromyalgia (FM) women in use of opioid in the last three months (73.33% used tramadol) with 32 non-users. EEG data were obtained with Eyes Open (EO) and Eyes Closed (EC) resting state. SPD peak amplitudes between EO-EC were smaller in opioid users in central theta, central beta, and parietal beta, and at parietal delta. However, these variations were positive for opioid users. Multivariate analyses of variance (ANOVAs) revealed that EO-EC variations in parietal delta were negatively correlated with the disability due to pain, and central and parietal beta activity variations were positively correlated with worse sleep quality. These clinical variables explained from 12.5 to 17.2% of SPD variance. In addition, central beta showed 67% sensitivity / 72% specificity and parietal beta showed 73% sensitivity/62% specificity in discriminating opioid users from non-users. These findings suggest oscillations in EEG might be a sensitive surrogate marker to screen FM opioid users and a promising tool to understand the effects of opioid use and how these effects relate to functional and sleep-related symptoms.


Energies ◽  
2021 ◽  
Vol 14 (14) ◽  
pp. 4215
Author(s):  
Radosław Wróbel ◽  
Lech Sitnik ◽  
Monika Andrych-Zalewska ◽  
Łukasz Łoza ◽  
Radostin Dimitrov ◽  
...  

The article presents the results of research on the vibroacoustic response of internal combustion engines mounted in a vehicle. The vehicles studied belong to popular models, which became available in successive versions. Each group included vehicles of the same model of an older generation (equipped with a naturally aspirated engine) and of a newer generation, including downsized (and turbocharged) engines. Tests in each group were carried out under repeatable conditions on a chassis-load dynamometer. The vibrations were measured using single-axis accelerometers mounted on the steering wheel, engine, and driver’s head restraint mounting. The primary purpose of the study was to verify whether the new generations of vehicles equipped with additional high-speed elements (compressors) generate additional harmonics (especially those within the range potentially affecting travel comfort and human health) and whether there are significant changes in the distribution of spectral power density in the new generations. As the study showed, new generations of vehicles are characterized by a different vibroacoustic response, and the trend of change is the same in each of the families studied.


2020 ◽  
Vol 22 (4) ◽  
pp. 651-657
Author(s):  
Javier Castilla-Gutiérrez ◽  
Juan Carlos Fortes ◽  
Jose Miguel Davila

1979 ◽  
Vol 23 (89) ◽  
pp. 57-66 ◽  
Author(s):  
J.-P. Benoist

Abstract Longitudinal profiles of roches moutonnées have been measured once every centimetre over a total length of more than 100 m. Only wavelengths in the range 3.6 cm < λ < 40 cm have been kept and analysed. Levels and their slopes have a symmetrical, non-Gaussian distribution. The spectral power density varies roughly as γ 0 ν–n (ν ═ wavenumber ═ 1/λ); n being the same for all the profiles (n ═ 2.36) and γ 0 being dependent on the studied area. No significant difference has been found for the shadowing function of the different studied areas. It differs consistently from Smith’s theoretical function.


2019 ◽  
Vol 20 (14) ◽  
pp. 3486 ◽  
Author(s):  
Julian I. Hofmann ◽  
Cornelius Schwarz ◽  
Uwe Rudolph ◽  
Bernd Antkowiak

Patterns of spontaneous electric activity in the cerebral cortex change upon administration of benzodiazepines. Here we are testing the hypothesis that the prototypical benzodiazepine, diazepam, affects spectral power density in the low (20–50 Hz) and high (50–90 Hz) γ-band by targeting GABAA receptors harboring α1- and α2-subunits. Local field potentials (LFPs) and action potentials were recorded in the barrel cortex of wild type mice and two mutant strains in which the drug exclusively acted via GABAA receptors containing either α1- (DZα1-mice) or α2-subunits (DZα2-mice). In wild type mice, diazepam enhanced low γ-power. This effect was also evident in DZα2-mice, while diazepam decreased low γ-power in DZα1-mice. Diazepam increased correlated local LFP-activity in wild type animals and DZα2- but not in DZα1-mice. In all genotypes, spectral power density in the high γ-range and multi-unit action potential activity declined upon diazepam administration. We conclude that diazepam modifies low γ-power in opposing ways via α1- and α2-GABAA receptors. The drug’s boosting effect involves α2-receptors and an increase in local intra-cortical synchrony. Furthermore, it is important to make a distinction between high- and low γ-power when evaluating the effects of drugs that target GABAA receptors.


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