Facial Expression Overrides Lumbopelvic Kinematics for Clinical Judgements about Low Back Pain Intensity.

Background. Through real-time behavioral observation systems, pain behaviors are commonly used by clinicians to estimate pain intensity in patients with low back pain. However, little is known about how clinicians rely on pain-related behaviors to make their judgment. According to the Information Integration Theory (IIT) framework, this study aimed at investigating how clinicians value and integrate information from lumbopelvic kinematics (LK), a protective pain behavior, and facial expression intensity (FEI), a communicative pain behavior, to estimate pain in patients with chronic low back pain (cLBP). Methods. Twenty-one experienced clinicians and twenty-one novice clinicians were asked to estimate back pain intensity from a virtual character performing a trunk flexion-extension task. Results. Results revealed that both populations relied on facial expression and that only half of the participants in each group integrated FEI and LK to estimate cLBP intensity. Among participants who integrated the two pain behaviors, averaging rule predominated among others. Results showed that experienced clinicians relied equally on FEI and LK to estimate pain, whereas novice clinicians mostly relied on FEI. Discussion. The use of additive rule of integration does not appear to be systematic when assessing others' pain. When assessing pain intensity, communicative and protective pain behaviors may have different relevance.

Diffusive emission of methane and carbon dioxide from two hydropower reservoirs in Brazil / Emissões difusivas de metano e de dióxido de carbono oriundas de dois reservatórios hidrelétricos

The role of greenhouse gas emissions from freshwater reservoirs and their contribution to increase greenhouse gas concentrations in the atmosphere is currently under discussion in many parts of the world. We studied CO2 and CH4 diffusive fluxes from two large neotropical hydropower reservoirs with different climate conditions. We used floating closed-chambers to estimate diffusive fluxes of these gaseous species. Sampling campaigns showed that the reservoirs studied were sources of greenhouse gases to the atmosphere. In the Serra da Mesa Reservoir, the CH4 emissions ranged from 0.530 to 396.96 mg.m–2.d–1 and CO2 emissions ranged from –1,738.33 to 11,166.61 mg.m–2.d–1 and in Três Marias Reservoir the CH4 fluxes ranged 0.720 to 2,578.03 mg.m–2.d–1 and CO2 emission ranged from -3,037.80 to 11,516.64 to mg.m–2.d–1. There were no statistically significant differences of CH4 fluxes between the reservoirs, but CO2 fluxes from the two reservoirs studied were significantly different. The CO2 emissions measured over the periods studied in Serra da Mesa showed some seasonality with distinctions between the wet and dry transition season. In Três Marias Reservoir the CO2 fluxes showed no seasonal variability. In both reservoirs, CH4 emissions showed a tendency to increase during the study periods but this was not statistically significant. These results contributed to increase knowledge about the magnitude of CO2 and CH4 emission in hydroelectric reservoirs, however due to natural variability of the data future sampling campaigns will be needed to better elucidate the seasonal influences on the fluxes of greenhouse gases.

Atualmente, em diversas partes do mundo, tem-se discutido muito sobre a contribuição das emissões de gases de efeito estufa oriundas de reservatórios hidrelétricos. Neste trabalho foram medidos fluxos difusivos de CO2 e CH4 em dois grandes reservatórios hidrelétricos neotropicais com diferentes condições climáticas (UHE Serra da Mesa e UHE Três Marias). Utilizamos câmaras flutuantes para estimar os fluxos difusivos de CO2 e CH4. As campanhas de amostragem mostraram que os dois reservatórios estudados apresentaram-se como fontes emissoras de gases por mecanismo de difusão. No reservatório de Serra da Mesa as emissões de CH4 variaram entre 0,530 e 396,96 mg.m–2.d–1 e as emissões de CO2 variaram entre –1.738,33 a 11.166,61 mg.m–2.d–1. No reservatório de Três Marias os fluxos de CH4 variaram entre 0,720 e 2.578,03 mg.m–2.d–1. Já os fluxos de CO2 variaram de -3.037,80 à 11.516,64 mg.m–2.d–1. Não houve diferença estatisticamente significativa dos fluxos de CH4 entre os reservatórios estudados, entretanto os fluxos de CO2 foram significativamente diferentes. As emissões de CO2 medidas ao longo dos períodos estudados em Serra da Mesa mostrou certa sazonalidade, com distinções entre o período de transição seco e úmido. No reservatório de Três Marias os fluxos de CO2 não apresentaram variabilidade sazonal. Em ambos os reservatórios, as emissões de CH4 apresentaram aumento do fluxo ao longo dos períodos de estudo, mas isso não foi estatisticamente significativo. Estes resultados contribuíram para aumentar o conhecimento sobre a variabilidade das emissões difusivas de CO2 e CH4 em reservatórios de usinas hidrelétricas. Entretanto, novas campanhas de amostragem serão necessárias para melhor estudar as influências sazonais sobre os fluxos dos gases de efeito estufa.

Perceptual weighting of pain behaviours of others, not information integration, varies with expertise.

BACKGROUND: Being able to estimate effort pain in patients is important for health care providers working in physical rehabilitation services. Previous studies have shown that clinicians and physiotherapists underestimate patients' pain. METHODS: The present study examined how two sources of visual information, namely body kinematics (movement speed and postural constraints) and facial expressions are integrated in order to estimate effort pain magnitude experienced by a paraplegic person performing a sitting pivot transfer. In addition, the effect of familiarity with paraplegia on judgment was assessed by comparing performance among physiotherapists, paraplegic patients and unfamiliar participants. Functional measurement was used to determine the psychophysical law of visual information integration carried by pain behaviours (guarding and facial expression). RESULTS: Results indicate that guarding behaviour (specified by movement speed) carried important information for perceived effort pain independently of familiarity. In contrast, facial expression of pain was relevant only to unfamiliar and physiotherapist participants and not to paraplegic participants. Even if physiotherapists underestimated effort pain as compared to the other groups, they relied more strongly on facial expression, than other participants, in their estimation of effort pain expressed by a paraplegic patient. CONCLUSIONS: These results bring further insights into understanding physiotherapists' perception of patients' pain. In order to improve their ability to adapt the difficulty of the rehabilitation sessions, they should learn to raise their global level of pain magnitude estimation (for example, by performing themselves the body movement) instead of overweighting facial pain expression signals.

Distinct visual perspective-taking strategies involve the left and right medial temporal lobe structures differently.

This study assesses the role of the human medial temporal lobe (MTL) structures in the coordination of spatial information across perspective change and, in particular, in visual perspective taking--namely the capacity to know what another individual is seeing on the visual scene. Fourteen patients with unilateral temporal lobe resection and 21 control subjects performed two tasks, called 'object location memory' and 'viewpoint recognition', respectively. In the object location memory task, subjects had to memorize the position of a target object in the environment from an initial viewpoint. They were then shown the same environment from a new viewpoint and had to indicate whether or not the target object had moved. In the viewpoint recognition task, subjects had to imagine the perspective of an avatar from the initial viewpoint and then decide whether or not the new viewpoint was that of the avatar. The results showed a double dissociation, with left MTL patients being impaired in the object location memory task but not in the viewpoint recognition task and right MTL patients being impaired in the viewpoint recognition task but not in the object location memory task. Furthermore, based on multiple regression analyses between performance and the volumes of the different MTL structures, we discuss the specific involvement of the left temporopolar cortex and of the right hippocampus in different kinds of visual perspective taking.

Visuospatial working memory and changes of the point of view in 3D space.

We used functional magnetic resonance imaging to explore the brain mechanisms of changing point of view (PoV) in a visuospatial memory task in 3D space. Eye movements were monitored and BOLD signal changes were measured while subjects were presented with 3D images of a virtual environment. Subjects were required to encode the position of a lamp in the environment and, after changing the PoV (angular difference varied from 0 degrees to 180 degrees in 45 degrees steps), to decide whether the lamp position had been changed too or not. Performance data and a scan-path analysis based on eye movement support the use of landmarks in the environment for coding lamp position and increasing spatial updating costs with increasing changes of PoV indicating allocentric coding strategies during all conditions (0 degrees - to 180 degrees -condition). Subtraction analysis using SPM revealed that a parieto-temporo-frontal network including left medial temporal areas was activated during this 3D visuospatial task, independent of angular difference. The activity of the left parahippocampal area and the left lingual gyrus (but not the hippocampus) correlated with increasing changes of the PoV between encoding and retrieval, emphasizing their specific role in spatial scene memory and allocentric coding. The results suggest that these areas are involved in a continuous matching process between internal representations of the environment and the external status quo. In addition, hippocampal activation correlated with performance was found indicating successful recall of spatial information. Finally, in a prefrontal area comprising, the so-called "deep" frontal eye field, activation was correlated with the amount of saccadic eye movements confirming its role in oculomotor processes.

Differential effects of labyrinthine dysfunction on distance and direction during blindfolded walking of a triangular path.

While we walk through the environment, we constantly receive inputs from different sensory systems. For us to accomplish a given task, for example to reach a target location, the sensory information has to be integrated to update our knowledge of self-position and self-orientation with respect to the target so that we can correctly plan and perform the remaining trajectory. As has been shown previously, vestibular information plays a minor role in the performance of linear goal-directed locomotion when walking blindfolded toward a previously seen target within a few meters. The present study extends the question of whether vestibular information is a requirement for goal-directed locomotion by studying a more complex task that also involves rotation: walking a triangular path. Furthermore, studying this task provides information about how we walk a given trajectory, how we move around corners, and whether we are able to return to the starting point. Seven young male, five labyrinthine-defective (LD) and five age- and gender-matched control subjects were asked to walk a previously seen triangular path, which was marked on the ground, first without vision (EC) and then with vision (EO). Each subject performed three clockwise (CW) and three counterclockwise (CCW) walks under the EC condition and one CW and CCW walk under the EO condition. The movement of the subjects was recorded by means of a 3D motion analysis system. Analysis of the data showed that LD subjects had, in the EC condition, a significantly larger final arrival error, which was due to increased directional errors during the turns. However, there was no difference between the groups as regards the overall path length walked. This shows that LD subjects were able to plan and execute the given trajectory without vision, but failed to turn correctly around the corners. Hence, the results demonstrate that vestibular information enhances the ability to perform a planned trajectory incorporating whole body rotations when no visual feedback is available.