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The ultimate curse.

Abstract

This paper tells the story of a doctor in a vegetative state. The approach towards him is quite different from that towards a common patient. The other physicians cannot deal with this situation with the necessary open mind.

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BibTeXRIS

C Crisci. 1995. The ultimate curse.. https://doi.org/10.1136/jme.21.5.277

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Spectral analysis of fetal heart rate variability allows quantitative determination of the main components that affect this variability. The physiological significance of these components is unclear; however, movements appear to contribute to variability. We studied six fetuses in which immobility required for in utero magnetic resonance or invasive fetal procedures was achieved by fetal intravascular injection of curare between 32 and 36 amenorrhea weeks. For each fetus, we compared spectral density parameters of heart rate variability. After curare administration, mean spectrum power was halved. We did not observe a larger significant decrease in any (very low, low, or high) frequency band. The other parameters of spectral analysis of variability were unaltered. Fetal movements accounted for a significant proportion of human fetal heart rate variability but did not constitute a unique frequency component.

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Mislocalizations of visual elevation and visual vertical induced by visual pitch: the great circle model.

The elevation visually perceived as eye level (VPEL) changes linearly with the pitch of an illuminated visual field. The magnitude of influence is only slightly less when the visual field contains only two dim vertical lines in darkness than when it is complexly structured and normally illuminated. Pitching a visual field consisting of only a single line in darkness produces an influence that is only slightly smaller than the 2-line stimulus. The slopes of the VPEL-vs.-pitch functions for the complex room, 2-line stimulus, and 1-line stimulus are +0.63, +0.56, and +0.52 respectively. Although VPEL is systematically influenced by the pitch of the 2-line stimulus, the orientation of a small line within a frontal plane that is visually perceived as vertical is unaffected. However, when the two lines are pitched by equal amounts in opposite directions, the offset of VPV from true vertical changes linearly with pitch magnitude but VPEL is unaffected. These results are identical to those obtained when the two vertical lines are rolled within the frontal plane, a result that depends on some identities between roll and pitch: roll of two parallel lines in the same direction influences VPV but not VPEL; roll of the two lines in opposite directions influences VPEL but not VPV. The interaction between stimulus conditions and discriminations demonstrates that separate mechanisms are in control of VPEL and of VPV. The slope of the VPEL-vs.-pitch function increases exponentially with line length for the 1-line stimulus (space constant = 15.1 degrees). Summation of influences on VPEL for two lines horizontally separated by 50.3 degrees is as great as for two coextensive lines. The above results are predicted from the Great Circle Model which assumes (1) central projection on a spherical approximation to an erect stationary eye; (2) the sign and magnitude of influence of each line on VPEL and on VPV are determined by the direction and magnitude of the separation between the upper pole of the spherical eye and the intersection of the great circle containing the line's image with the central vertical retinal meridian and with the midfrontal retinal meridian, respectively; (3) the influence of individual nonparallel lines is determined by a weighted average of the influences of individual sets of parallel lines; (4) a generalized version of the Great Circle Model is indicated in which extraretinal signals from head and eye are taken into account.

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War and hunting poisons of the New World. Part 1. Notes on the early history of curare.

The history to about 1850 of the muscle-relaxant poison curare is discussed, especially the developments leading to the botanical identification of the plants that yield the alkaloidal active principles: Loganiaceae (Strychnos species) and Menispermaceae (Abuta, Chondrodendron, and Curarea species). One of the earliest encounters with the poison appears to have been during the exploration of the Lake Maracaibo region in Colombia by Alonso Pérez de Tolosa in 1548. It is pointed out (yet again) that Sir Walter Ralegh did not bring back the poison to Europe in 1595 and that it was Keymis who first came across the word ourari when exploring the lower reaches of the Orinoco in 1596. Gumilla, La Condamine, Ulloa, Veigl, and others gave much additional information about the poison during the 18th century. Scientific studies began in the latter part of the century when Schreber listed the botanical identities of four of the plant components entering into the curare prepared by the Akawai Indians of Surinam. As far as is known, none of these people actually saw curare being made. Thereafter, progress was rapid. Humboldt and Bonpland were the first trained scientists to witness the preparation of the poison, at the very beginning of the 19th century. Subsequent exploration by Martius and Spix, Poeppig, Youd, the Schomburgk brothers, De Castelnau and Deville, Spruce, and others, up to the middle of the century, extended and deepened botanical and ethnological knowledge of curare. Study of its physiology started at about that time with the classical experiments of Rudolf von Koelliker and Claude Bernard.

Curare