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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Pain is better classified as an awareness of a need-state than as a sensation. It serves more to promote healing than to avoid injury. It has more in common with the phenomena of hunger and thirst than it has with seeing or hearing. The period after injury is divided into the immediate, acute and chronic stages. In each stage it is shown that pain has only a weak connection to injury but a strong connection to the body state.
Pain 1979 Jun
PMID:On the relation of injury to pain. The John J. Bonica lecture. 46 Sep 33

A technique for clustering infants' cry-signals on the basis of perceptually discriminable acoustic characteristics is reported. A cry-sequence containing all pairwise combinations of 24 signals was constructed. These signals have been used previously in cry-recognition studies (e.g., Wasz-Hockert, et al., 1968) and consist of six each of pain, hunger, pleasure, and birth. 20 musically competent subjects were tested individually and instructed to compare each cry with the one immediately preceding it in the sequence. Forced-choice "similarity" scores were summed for every pair of cries. These "similarity scores" were data for both a manual and a computerized clustering method. There was absolute agreement between these two methods, and the clusters of cry-signals correspond very closely to the four original cry groups. This seems a valid technique for examining the acoustic similarity of infants' cry-signals.
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PMID:Discrimination of infants' cry-signals. 48 18

The effects of training on the ability to identify 4 infants' cry-signals (birth, hunger, pain, and pleasure) were studied in 60 college students (aged 18 to 30 yr.). Subjects with training scored significantly higher than those without in identifying all but the pleasure cry-signal. In a follow-up retest 10 wk. later, scores for the birth and hunger cry-signals improved significantly (p less than .05) for subjects without training, while scores for subjects with training remained about the same. The suggestion that repeated exposure to cry-signals may serve as training was discussed.
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PMID:Effects of training versus non-training in identification of infant cry-signals: a longitudinal study. 48 25

The effects of empathy, gender, and training on the ability to identify 4 infant cry-signals (birth, hunger, pain, and pleasure) were studied in 89 college students (ages 18 to 30 yr.), all of whom were low in experience as caregivers to infants. Subjects with training scored significantly higher than those without in identifying all but the pleasure cry-signal. Subjects low in empathy scored significantly better than subjects high in empathy in recognizing the birth cry-signal. Gender made no difference. Brief training may make the crucial difference in the development of this ability. Implications for parenting and infant care are discussed.
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PMID:Empathy, gender, and training as factors in the identification of normal infant cry-signals. 70 51

A boy 14 years of age, weighing 93,45 kg and 143 cm in height was refered to our clinic with hyperphagia and pain in the joints. The patient showed the Prader-Labhart-Willi-syndrome. Through maximal diet therapy, 2 admittances in our ward and through intensive psychological outpatient care, we have seen a weight loss of 26 kg in 18 months and clear improvement in the patient's health. We would like to draw attention to the fact that a weight reduction diet is a cooperative family effort. To satiate uncontrollable hunger an intermittent dose of Fenfluramine (0,5 mg/kg) is recommended.
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PMID:[Treatment of extreme obesity in a case of Prader-Willi-Labhart-syndrome (author's transl)]. 125 Jun 28

MK-329 is a nonpeptidal, highly specific cholecystokinin (CCK) receptor antagonist, with affinity for pancreatic and gallbladder CCK receptors similar to CCK itself. MK-329 and its progenitor, asperlicin, can inhibit the growth of CCK receptor-positive human pancreatic cancer in athymic mice. Based on these activities and the ability of MK-329 to transiently increase food intake and enhance morphine analgesia in murine models, we conducted an open trial of MK-329 in 18 patients with advanced pancreatic cancer in whom the CCK receptor status of the tumors was unknown. Tumor response, pain control, and nutritional parameters (hunger rating, caloric intake, body weight, and anthropometrics) were serially assessed. The results of the study failed to demonstrate any impact of MK-329 on tumor progression, pain, or nutrition. Toxicity was mild and limited to nausea, vomiting, diarrhea, and abdominal cramps, with 17 of 18 patients able to tolerate treatment. While a role for MK-329 in the management of patients with advanced pancreatic cancer cannot be supported by the results of this trial, additional studies of this agent in patients with known CCK receptor-positive tumors, at escalated doses, and possibly in conjunction with other growth antagonists, appear warranted.
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PMID:A pilot clinical trial of the cholecystokinin receptor antagonist MK-329 in patients with advanced pancreatic cancer. 155 66

A randomized controlled study comparing once-a-day morning and once-a-day bedtime administration of 40 mg famotidine in treating gastric ulcers was carried out in 179 Japanese patients. Endoscopic examinations were performed at the baseline and repeated at 4-wk intervals until healing was confirmed. One hundred and sixty-four patients fulfilled the evaluation criteria (81 in the morning group and 83 in the bedtime group). The healing rates were 50.7% after 4 wk and 88.9% after 8 wk in the morning group and 46.5% after 4 wk and 74.7% after 8 wk in the bedtime group. The difference was statistically significant after 8 wk. Significant reductions from baseline for overall pain, beginning during the first 3 days, were likewise found in the two treatment groups. However, the pain severity in hunger state 1 wk after treatment was significantly higher in the bedtime group than in the morning group. Thus, once-a-day morning administration of 40 mg famotidine seems to be superior to once-a-day bedtime administration of 40 mg famotidine in treating gastric ulcers.
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PMID:A comparative study of once-a-day morning and once-a-day bedtime administration of 40 mg famotidine in treating gastric ulcers. 833 6

A case of an AFP-producing gastric cancer accompanied with non-epithelial tumor is reported. A 63-year-old man, complaining of an epigastric hunger pain, was admitted to our hospital. Testing revealed that he had an extremely high level serum AFP (12,400 ng/ml) with no abnormality of liver function. A barium ingestion and a subsequent endoscopic examination determined the existence of a Borrmann III type advanced gastric cancer on the lesser curvature, extending from middle corpus to the antrum. Diagnostic imaging did not reveal any metastatic lesion in liver. After a total gastrectomy, the patient's serum AFP level rapidly decreased, followed by a recurrence he developed of a carcinomatous pleuritis and death. On autopsy, an enlargement of the right testis was noticed for the first time. Histologically, it was found to be a malignant, non-epithelial tumor, which proved negative for anti-AFP staining by the ABC method and positive for anti *L-26. On the other hand, the gastric cancer was a poorly differentiated adenocarcinoma with a hepatoid differentiation which was positive for anti-AFP staining and negative for anti-L-26 so it thus was diagnosed as an AFP-producing gastric cancer.
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PMID:[A case of AFP-producing gastric cancer accompanied with testicular tumor]. 246 35

A human case infected with Stellantchasmus falcatus(Heterophyidae) is reported based on the adult worms collected after praziquantel treatment. The patient is a 33-year old male residing in Seoul. For several months he experienced vague abdominal discomfort and hunger pain. Praziquantel at a single dose of 600 mg was given followed by purgation with magnesium salt, and 17 adult S. falcatus specimens were collected from the diarrheal stools. He recalled he had eaten raw flesh of several kinds of brackish water fishes. This is the 4th human case of S. falcatus infection in Korea.
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PMID:A human case of Stellantchasmus falcatus infection. 248 40

Spectral characteristics of species-specific acoustic signals were analyzed in cats under various unfavourable conditions: hunger, isolation, pain stimulation, agony. The increase in the need to get rid of the discomfort accompanied by the development of emotional excitation was reflected in spectral characteristics of produced signals. The frequency and duration of signals increased, their spectrum widened accompanied by spectral maxima shifted towards the high-frequency area similar to the range of formant frequencies in the signals of newborn kittens. The similarity between spectral characteristics of the above signals in adult and newborn cats might indicate the appearance of infantile features in adult cats under conditions of a marked desire to change the existing situation. The fact that motivational state was reflected in spectral characteristics of acoustic signals along with stable responses to the signals, spoke in favour of a considerable contribution made by communication to the organization of intraspecific relations.
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PMID:[The reflection of the motivational status in the spectral characteristics of the species-specific acoustic signals of the domestic cat]. 281 52


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