Previous investigators using the extent of uptake of the weak base methylamine to measure internal pH have shown that the pH in the core region of dormant spores of Bacillus megaterium is 6.3 to 6.5. Elevation of the internal pH of spores by 1.6 U had no significant effect on their degree of dormancy or their heat or ultraviolet light resistance. Surprisingly, the rate of methylamine uptake into dormant spores was slow (time for half-maximal uptake, 2.5 h at 24°C). Most of the methylamine taken up by dormant spores was rapidly (time for half-maximal uptake, <3 min) released during spore germination as the internal pH of spores rose to-7.5. This rise in internal spore pH took place before dipicolinic acid release, was not abolished by inhibition of energy metabolism, and during germination at pH 8.0 was accompanied by a decrease in the pH of the germination medium. Also accompanying the rise in internal spore pH during germination was the release of >80% of the spore K+ and Na+. The K+ was subsequently reabsorbed in an energy-dependent process. These data indicate (i) that between pH 6.2 and 7.8 internal spore pH has little effect on dormant spore properties, (ii) that there is a strong permeability barrier in dormant spores to movement of charged molecules and small uncharged molecules, and (iii) that extremely early in spore germination this permeability barrier is breached, allowing rapid release of internal monovalent cations (H+, Na+, and K+).

Only one study has examined MMPI cluster profiles in the headache population. The present study expanded on this previous investigation by using a large sample size (N = 485) and a greater number of diagnostic categories. The five MMPI clusters replicated previous findings in the chronic pain literature. These MMPI cluster groups were compared to 5 diagnostic categories (migraine, cluster, post-trauma, tension, mixed). No relationship was found between cluster type and headache diagnosis. While the diagnostic groups were found to differ on measures of pain severity, sex and age, cluster groups did not. It is proposed that MMPI scale types reflect a patient's response to pain and are more likely to be the result of coping resources than headache-related personality style. Future research with additional, non-pain populations and prospective studies is suggested.

No abstract

One hundred patients were enrolled in a multicenter double-blind study to evaluate the safety and effectiveness of the Pain Suppressor Unit, a cranial electrotherapy stimulator for the symptomatic treatment of tension headaches. Treatment consisted of extremely low level, high frequency current applied transcranially. Pain scores before and after 20 minute treatments of individual headaches as well as patient and physician global evaluations were the primary efficacy variables. Following use of the active unit, patients reported an average reduction in pain intensity of approximately 35%. Placebo patients reported a reduction of approximately 18%. The difference was statistically significant (p = 0.01). The active unit was rated as moderately or highly effective in 40% by physicians, and in 36% by patients. Both physicians and patients scored the placebo unit moderately or highly effective for only 16%. The difference in ordered outcomes was statistically significant (p = 0.004). Approximately 10% of patients in each group reported at least one minor adverse experience. Cranial electrotherapy stimulation is distinct from TENS, and is safe and often effective in ameliorating the pain intensity of tension headaches. It should be considered as an alternative to the chronic usage of analgesics.

This investigation evaluated the diagnostic value of medical thermology for the documentation of myofascial trigger points. Previous investigators have suggested that circumscribed 'hot spots' reflect the thermal activity of trigger points. A total of 365 patients participated in the four separate experiments. Upper back trigger points were isolated via palpation. A separate thermographic examination, specific to that experiment, was conducted by a technologist who was blind to the presence or absence of trigger points. The first experiment examined the Swerdlow-Dieter protocol. Fifty percent of the subjects with trigger points demonstrated hot spots. Over 60% of patients without trigger points exhibited hot spots. Chi-square analysis determined that there was no significant difference between these two groups. The majority of hot spots were unrelated to trigger point location. The second experiment evaluated the protocol suggested by Fisher. Hot spots were evident in the majority of subjects, regardless of whether they possessed trigger points. The third experiment investigated hot spot persistence by adapting the Weinstein-Weinstein alcohol spray protocol. Chi-square analysis found no significant difference between the effect which spray had on the hot spots of patients with or without trigger points. Following a post-spray machine adjustment, the majority of pre-spray hot spots could be reproduced. The final experiment used a pressure threshold meter (PTM) to evaluate the number of kilograms pressure a patient's hot spot could comfortably sustain in comparison to the opposite location on the back. Using the t test, no significant difference was found between the kilograms pressure withstood by hot spot and non-hot spot regions.(ABSTRACT TRUNCATED AT 250 WORDS)