Suicide by cop

STUDY OBJECTIVE

"Suicide by cop" is a term used by law enforcement officers to describe an incident in which a suicidal individual intentionally engages in life-threatening and criminal behavior with a lethal weapon or what appears to be a lethal weapon toward law enforcement officers or civilians to specifically provoke officers to shoot the suicidal individual in self-defense or to protect civilians. The objective of this study was to investigate the phenomenon that some individuals attempt or commit suicide by intentionally provoking law enforcement officers to shoot them.

METHODS

We reviewed all files of officer-involved shootings investigated by the Los Angeles County Sheriff's Department from 1987 to 1997. Cases met the following criteria: (1) evidence of the individual's suicidal intent, (2) evidence they specifically wanted officers to shoot them, (3) evidence they possessed a lethal weapon or what appeared to be a lethal weapon, and (4) evidence they intentionally escalated the encounter and provoked officers to shoot them.

RESULTS

Suicide by cop accounted for 11% (n=46) of all officer-involved shootings and 13% of all officer-involved justifiable homicides. Ages of suicidal individuals ranged from 18 to 54 years; 98% were male. Forty-eight percent of weapons possessed by suicidal individuals were firearms, 17% replica firearms. The median time from arrival of officers at the scene to the time of the shooting was 15 minutes with 70% of shootings occurring within 30 minutes of arrival of officers. Thirty-nine percent of cases involved domestic violence. Fifty-four percent of suicidal individuals sustained fatal gunshot wounds. All deaths were classified by the coroner as homicides, as opposed to suicides.

CONCLUSION

Suicide by cop is an actual form of suicide. The most appropriate term for this phenomenon is law enforcement-forced-assisted suicide. Law enforcement agencies may be able to develop strategies for early recognition and handling of law enforcement-forced-assisted suicide (suicide by cop). Health care providers involved in the evaluation of potentially suicidal individuals and in the resuscitation of officer-involved shootings should be aware of law enforcement-forced-assisted suicide as a form of suicide.

PET with 18fluorodeoxyglucose and hexamethylpropylene amine oxime SPECT in late whiplash syndrome

BACKGROUND

Many patients have cognitive abnormalities and psychological problems after whiplash injury to the cervical spine. To our knowledge, neuroradiologic imaging has not depicted brain damage that explains the symptoms. Parietotemporo-occipital perfusion deficits on hexamethylpropylene amine oxime (HMPAO) SPECT studies have been described among patients who have sustained whiplash injury.

METHODS

We examined 13 patients with typical late whiplash syndrome (study group) using HMPAO SPECT, 18fluorodeoxyglucose (FDG) PET, and MRI of the brain and compared the findings with those for 16 control subjects who underwent FDG PET.

RESULTS

In the study group, statistical parametric mapping revealed significantly decreased FDG uptake in the frontopolar and lateral temporal cortex and in the putamen. The frontopolar hypometabolism correlated significantly with scores of the Beck Depression Inventory. However, in individual cases, reliability in the depiction of hypometabolic areas was relatively low. No alterations were found in the parietotemporo-occipital area. In these areas, decreased uptake of HMPAO and FDG correlated with cortical mass.

CONCLUSION

FDG PET did not allow reliable diagnosis of metabolic disturbances for individual patients. Therefore, we do not recommend FDG PET or HMPAO SPECT as a diagnostic tool in routine examinations of patients with late whiplash syndrome.

Theophylline and warfarin interaction studies with grepafloxacin

Two phase I trials, each involving 16 healthy adult volunteers, were performed to investigate possible interactions between grepafloxacin and theophylline or warfarin. In the theophylline study, grepafloxacin 600 mg was administered once daily for 10 days to 12 volunteers who were receiving a maintenance dose of theophylline. This dose of theophylline was designed to produce mean serum theophylline concentrations of 7.5 mg/L; 4 volunteers received theophylline plus placebo. Pharmacokinetic parameters of theophylline were determined before grepafloxacin treatment and on day 10 of grepafloxacin or placebo administration. Peak theophylline concentrations and the area under the concentration-time curve increased significantly during grepafloxacin treatment, and apparent total clearance of theophylline was reduced by approximately 50%. No changes were observed in the placebo group and theophylline appeared to have no effect on the pharmacokinetics of grepafloxacin. In the warfarin study, grepafloxacin 600 mg was given once daily for 14 days to volunteers receiving a maintenance dose of warfarin. Warfarin was discontinued during the last 4 days of grepafloxacin administration. The pharmacodynamics of warfarin did not change after administration of grepafloxacin. Similarly, warfarin had no significant effect on the pharmacokinetics of grepafloxacin. We conclude that during treatment with grepafloxacin maintenance, doses of theophylline should be reduced by 50%, and we recommend that serum concentrations of theophylline be monitored during treatment with grepafloxacin. However, no dose adjustment is necessary for grepafloxacin when it is coadministered with theophylline, and dose adjustment does not seem to be required in concomitant treatment with grepafloxacin and warfarin.

Psychophysiological Basis for Errors in Identification of Degraded Geometric Forms under Conditions of High Information Uncertainty

Identification of ambiguous geometric forms by human subjects with brief experience or pre-knowledge of the stimulus may call upon Bayesian specialised mechanisms. Subjects were presented with a 2-alternative forced choice between a pair of incomplete geometric figures in conditions with common and varying components. Stimuli of 1, 3, 5, and 6 pixel acuity grades were displayed in iterative order in randomised blocks at 100, 200, 260, and 360 ms exposure times, rotated or upright, under local or global viewing. Analysis of probability of correct identification against stimulus intensity, acuity demand, and stimulus duration revealed: (i) sigmoid or dipper-shaped nonmonotonic psychometric functions; (ii) Poisson-like skewed binomial distributions of errors; and (iii) category-based dependence on the stimulus and its ambiguity. This is attributable to the high uncertainty constraints imposed on tasks sharing and also varying in their stimulus parameters and dimensions. Nonlinearities shown reflect category-based strategies and attention allocation, interactions as a drive for performance stability manifested in equalisation across sub-categories and invariances of errors, with acuity demand accounted for perhaps by mechanisms of differential attention allocation. Two sources of error are apparent: (i) possibly ‘bottleneck of attention’-related and individually varying ‘blink of attention’, with small falls distributed across stimulus intensities, and (ii) ‘lapse of attention’ with large falls on easier tasks, and rightward-skewed deviations from normal Poisson-like binomial distributions ( p<0.001), the high correlation to performance effort suggesting an active process of pay-off.

The Pseudomonas aeruginosa outer membrane protein I vaccine: immunogenicity and safe administration in man

After expression in Escherichia coli and purification by Ni++ chelate-affinity chromatography, the outer membrane protein I (OprI) of Pseudomonas aeruginosa was tested in experimental animals for its safety and pyrogenicity. Four groups of 7 adult human volunteers were then vaccinated 3 times at four-weekly intervals with either 500 micrograms, 200 micrograms, 50 micrograms or 20 micrograms of OprI adsorbed onto aluminum hydroxide. The vaccinations were well tolerated and without systemic side effects, but a significant rise of antibody titers against OprI was measured in the serum of those who had received the 500 micrograms, 200 micrograms or 50 micrograms doses. Raised antibody titers against OprI were still present 30 weeks after the final vaccination. It was possible to demonstrate binding of the complement component C1q to the elicited antibodies, and this confirms their ability to promote antibody-mediated complement-dependent opsonization.

Safety and immunogenicity of a Pseudomonas aeruginosa outer membrane protein I vaccine in human volunteers

The outer membrane protein I (OprI) of Pseudomonas aeruginosa was expressed in Escherichia coli and purified by Ni2+ chelate-affinity chromatography. After safety and pyrogenicity evaluation in animals, four groups of seven adult human volunteers were vaccinated three times at four week intervals with either 500 micrograms, 200 micrograms, 50 micrograms or 20 micrograms of OprI adsorbed onto Al(OH)3. All vaccinations were well tolerated and no systemic side effects were detected. A significant rise of antibody titers against OprI could be measured in the serum of all volunteers who had received the 500 micrograms, 200 micrograms or 50 micrograms doses. Elevated antibody titers against OprI could still be measured 30 weeks after the final vaccination. Binding of the complement component C1q to the elicited antibodies could be demonstrated, showing the ability of the latter to promote antibody-mediated complement-dependent opsonization.

Are Special Mechanisms Chosen in Short Experience-Based Identification of Degraded Geometric Forms?

Perceptual performance schema are consistently prepared by human beings. Minimal ‘experience’ with pertinent stimulus attributes seem necessary. We presume that with new stimuli, a ‘linkage’ is formed with inner representations on the basis of commonly shared stimulus components. To investigate this hypothesis, we used ‘confusion stimuli’, ie degradations of five-corner and six-corner stars. These were presented within each of four paradigms: upright (u), rotated (10°; r), foveal/local viewing (A) or eccentric/global viewing (B), that is uA, uB, rA, and rB paradigms. Random presentation of stimuli prototypes preceded the stimulus so that in comparing the presented stimulus to one and the other prototype, the subject faced a 2AFC task. Series (4 to 6) each of 32 randomised paradigms were run on each of six subjects. The subjects keyed 5 or 6 on identifying one or the other stimulus. On the assumption that exposure time and/or acuity grades impose stimulus intensities, psychometric curves were derived by plotting probability of correct choice against either parameter. The results indicate that in hybrid paradigms such as the present uA and uB, or rA and rB subjects may use shared component strategy: ‘u strategy’ with uA and uB, ‘r strategy’ with rA and rB, shared A and B in generating viewpoint invariance. Similar log-linear psychometric curves and slopes for pairs of paradigms were obtained, and ‘transfer’ of learning presumably also based on shared stimulus properties was observed.

TH1 cells trigger tumor necrosis factor alpha-mediated hypersensitivity to Pseudomonas aeruginosa after adoptive transfer into SCID mice

Recent experiments have shown that gamma interferon (IFN-gamma), either administered or induced in vivo, e.g., by certain bacteria, is a key mediator in inducing hypersensitivity to bacterial lipopolysaccharides. The source of endogenous IFN-gamma in this context (natural killer versus TH1 cells) has not been investigated yet. In order to investigate the role of antigen-specific, IFN-gamma-producing TH1 cells in murine Pseudomonas aeruginosa infection, a murine TH1 cell line was propagated in vitro by using recombinant P. aeruginosa outer membrane protein I. Adoptive transfer experiments were performed by intravenous injection of various amounts of TH1 cells into P. aeruginosa-challenged SCID mice. Adoptive transfer of 5 x 10(6) T cells into SCID mice followed by an intraperitoneal challenge with 1.4 x 10(6) CFU of live P. aeruginosa resulted in the rapid death of the animals within 12 h postchallenge, whereas transfer of lower T-cell doses and saline as a control did not cause any detrimental effects. After challenge with 2.8 x 10(6) CFU of P. aeruginosa, similar results were obtained 18 h postchallenge; however, at the end of the 72-h observation period, no significant differences in survival rates were obtained between the groups treated with different amounts of T cells. The rapid death of mice treated with 5 x 10(6) T cells was reflected by 860-fold-elevated levels of tumor necrosis factor alpha (TNF-alpha) present in serum 2 h postchallenge, whereas no significant differences in TNF-alpha serum levels were detectable in mice treated with lower doses of T cells or with saline. Pretreatment of T-cell-reconstituted SCID mice with neutralizing anti-IFN-gamma monoclonal antibodies completely protected mice from bacterial challenge and reduced TNF-alpha levels in serum. We conclude that under the experimental conditions described here, IFN-gamma- and interleukin-2-producing TH1 cells represent an important trigger mechanism inducing TNF-alpha-mediated hypersensitivity to bacterial endotoxin.

Responses to colour of neurones in area 7a of the inferior parietal lobule of the rhesus monkey

A single-unit study on area 7a of alert, fixating rhesus monkeys revealed responsiveness to primary colours comparable to white light responsiveness shown in other cells. Mostly decremented, some biphasic, and a small portion with incremented neuronal firing response were observed, following stimulation of cells by parafoveal receptive field, rectangular, approximately 20 degrees x 20 degrees red, green or blue-violet light stimuli. The same cell showed no response to white light. Receptive fields of these colour-sensitive cells, like those of white-sensitive cells, were mostly contralateral, some ipsilateral and a few in both hemifields. Augmentation of responses following preconditioning electrical stimulation of lateroposterior-pulvinar targets was observed as with the white-light sensitive cells. It is noteworthy that this monkey area 7a colour sensitivity is complementary to previously demonstrated white light sensitivity. The specific properties revealed by these cells suggest separate channels within area 7a for colour and for achromatic light, the colour sensitivity possibly relevant when chromaticity is of generalized import, and these may subserve the animal's orienting response to colour appearance in the near-periphery visual field.

Outer membrane proteins of Pseudomonas aeruginosa as vaccine candidates

We tested the ability of recombinant outer membrane proteins of Pseudomonas aeruginosa to serve as a protective vaccine against this gram negative pathogen under two main pathophysiological events leading to P. aeruginosa sepsis. i) systemic infection during immunosuppression, and ii) bacterial translocation. A hybrid vaccine was cloned combining protective epitopes of outer membrane protein F (OprF) and outer membrane protein I (OprI). This vaccine proved to be highly protective against an intraperitoneal challenge with P. aeruginosa in immunosuppressed mice. Oral immunization of mice, with recombinant Salmonella dublin expressing OprI induced s-IgA antibodies in the gut mucosa against OprI and provided protection against translocation of P. aeruginosa in an immunosuppressed mouse model. To test whether OprI is safe for use in humans, recombinant OprI was purified and used for immunization of volunteers. Vaccination was well tolerated and no major side effects were observed. The induction of serum antibodies against OprI was found to be dose-dependent and was observed in total in 65% of the volunteers.

Protection of immunosuppressed mice against translocation of Pseudomonas aeruginosa from the gut by oral immunization with recombinant Pseudomonas aeruginosa outer membrane protein I expressing Salmonella dublin

AroA Salmonella dublin was used as recipient for a plasmid coding for the outer membrane protein I (OprI) of Pseudomonas aeruginosa. Oral immunization of Balb/c mice with recombinant S. dublin induced serum IgG and IgA antibodies against P. aeruginosa. In spleen and Peyer's patches anti-P. aeruginosa IgG- and IgA-secreting cells could be measured by the ELISPOT technique. In an oral challenge of immunosuppressed mice with P. aeruginosa the orally immunized animals had a 58-fold higher LD50 than control animals.

Organ-localized hypothalamic-stimulated vasculature changes in the cat

Stimulation of specific lateral hypothalamic targets in a cat model induces vascular and/or cardiac changes. Evidence is presented that these may consist of discretely localized sympathetically mediated changes taking place in just one or two organs. Moreover, following stimulation of either one of two adjacent lateral hypothalamus sites, pressor effects are induced that superficially look similar, but prove to be mediated by different pathways. To investigate possible synapsing at sympathetic ganglia, e.g. in superior cervical or stellate ganglia, 50 micrograms atropine methyl nitrate, a ganglionic blocker, was applied directly to the ganglia. This was shown to potentiate the pressor effects, in some cases when applied to the superior cervical ganglia, in others to stellate ganglia, presumably by blockade of a ganglionic attenuating mechanism. The contributions made by different sympathetic nerves to the lateral hypothalamus-induced pressor effect were analysed. Stimulation of one of the lateral hypothalamus sites (TAR.I) in eight cats induced a pressor effect that was abolished by severing a nerve branch, from the superior cervical ganglia laterally, shown to innervate neck muscle vasculature. In another group of nine cats stimulation of TAR.II induced a pressor effect abolished by cutting a branch from the superior cervical ganglia medially, shown to be destined to the vasculature of pharyngeal muscles and possibly lower respiratory tract. The hypothesis that central control via the sympathetic nervous system is responsible for differential organ specific regulation of blood flow to individual organs is discussed.

A motor-driven miniature multiple microelectrode manipulator for recording from the cortical neuropile of the awake monkey in operant behavior paradigms

An improved version of the Blum and Feldman multiple microelectrode manipulator is described. The main innovation is a design based on miniaturization and light weight (75 g), which allows head mounting with minimal disturbance to the animal in awake monkey operant behavior studies. The major features of the previously described model are preserved: simultaneous independent manipulation of four microelectrodes, in order to record from at least four single units, that may be crosscorrelated. With the new design better adjustment of intermicroelectrode distances for studies of interneural distances of 300 microns to 7 mm, and an easier automatic, computer-controlled monitoring of distances transversed into the brain are possible.

Formation of guide RNA/messenger RNA chimeric molecules in vitro, the initial step of RNA editing, is dependent on an anchor sequence

Synthetic pre-edited messenger RNA (mRNA) and guide RNA (gRNA) for the 5'-edited maxicircle-encoded ND7 cryptogene from Leishmania tarentolae formed chimeric molecules upon incubation in the presence of a mitochondrial extract. These chimeric molecules consisted of the gRNAs covalently linked to the mRNAs by short oligo(U) tails at normal editing sites in most cases. Unlike the previously reported chimeras present in steady-state kinetoplast RNA, the in vitro-synthesized chimeras showed no editing of downstream editing sites. The synthesis of chimeric RNAs required ATP and was dependent on the formation of a gRNA/mRNA anchor duplex 3' of the pre-edited region, as shown by in vitro mutagenesis of the mRNA and the gRNA. mRNA sequences 3' and 5' of the pre-edited region also affected the efficiency of the chimera-forming activity. This in vitro system may accurately represent the initial step in RNA editing.

Generation of unexpected editing patterns in Leishmania tarentolae mitochondrial mRNAs: misediting produced by misguiding

We have analyzed the generation of unexpected patterns of RNA editing, i.e., those not following a strict 3' to 5' progression, which occur in junction regions between fully edited and preedited sequences. Evidence is presented that these patterns are generated by misediting due to specific events of misguiding. Misediting can occur through the interaction of inappropriate gRNAs with mRNAs or appropriate gRNAs in an incorrect fashion. Four possible mechanisms for the generation of misedited sequences are presented. Chimeric molecules have been detected in steady-state mitochondrial RNAs that are composed of misguiding gRNAs covalently linked to mRNAs at misediting sites by the 3' oligo(U) tail. We propose that misediting within junction regions can be corrected by appropriately acting gRNAs.

Characterization of the [3H]-desipramine binding site of the bovine adrenomedullary plasma membrane

The specific (i.e. nisoxetine-sensitive) binding of [3H]desipramine was studied in membranes prepared from bovine adrenal medullae. (1) [3H]desipramine bound reversibly and with high affinity (KD = 2.8 nmol/l) to a single class of non-interacting binding sites (Hill coefficient = 0.96); the maximal number of binding sites (Bmax) was 2.1 pmol/mg protein. (2) Binding of [3H]desipramine was dependent on [Na+] and [Cl-]. Increasing the concentrations of these ions increased binding. (3) Substrates and inhibitors of the neuronal noradrenaline transport system (uptake1) inhibited binding of [3H]desipramine with a rank order of potency typical for an interaction with the uptake1 carrier. The characteristics of [3H]desipramine binding remained essentially unchanged after solubilization of adrenomedullary membranes with the non-ionic detergent digitonin. The results indicate that the plasma membrane of bovine adreno-medullary cells is endowed with the neuronal uptake1 transporter.

Antibody Production in Silkworm Cells and Silkworm Larvae Infected with a Dual Recombinant Bombyx Mori Nuclear Polyhedrosis Virus

We have examined the efficiency of coexpression of two heterologous genes from a recombinant Bombyx mori nuclear polyhedrosis virus for the production of antibodies in silkworm larvae. The cDNAs encoding the light and the heavy chains of a murine immunoglobulin, directed against lipoprotein I of Pseudomonas aeruginosa, were brought under the control of two separate copies of the viral polyhedrin promotor. Infection of silkworm cells with the recombinant baculovirus yielded a maximum of 6.4 micrograms/ml IgG2A in the culture supernatant 72 hours post infection, while 800 micrograms/ml IgG2A was found in the hemolymph of infected fifth instar silkworm larvae seven days after infection with the same construct. The recombinant antibody exhibited a similar antigen specificity and avidity to that of the monoclonal antibody derived from ascites fluid.

Computer methods for locating kinetoplastid cryptogenes

RNA editing in the mitochondria of kinetoplastid protoza involves the insertion and/or deletion of precise numbers of uridine residues at precise locations in the numbers of uridine residues at precise locations in the transcribed RNA of certain genes. These genes are known as cryptogenes. In this paper we study computational algorithms to search for unknown cryptogenes and for the associated templates for insertion of uridines, gRNA sequences. The pairwise similarity search algorithm of Smith and Waterman (1) is modified to study this problem. The algorithm searches for unknown gRNAs given the cryptogene sequence. The method is tested on 4 known cryptogenes from L.tarentolae which are known to have 7 associated gRNAs. The statistical distribution of the longest gRNA when comparing random sequences is derived. Finally we develop an algorithm to search for cryptogenes using amino acid sequences from related proteins.

Hypothalamic etiology in sympathetically induced pathogenic cardiovascular changes in the cat

Transient cardiovascular changes, including angina-like electrographic signs, are inducible by electrical stimulation of discrete sites in the prefornical region of the lateral hypothalamus (LH) of cats. Repeated stimulation may result in neurogenic cardiac infarction and myocardial bleeding. Thirty Swiss breed locally grown cats were studied under alpha-chloralose anesthesia in pairs, one as control and one experimental, with only the latter receiving multiple stimulations. ECG in lead II and arterial blood pressure were recorded on a Grass polygraph (USA). Electrical stimulation was delivered to a LH target at Fr 9.0, L2.5, D-1 to -2, by means of stainless steel wire electrodes. Stimulation consisted of 15-sec trains of square wave pulses at 100 Hz, 0.2-0.5 msec duration, and threshold currents of 0.05-0.1 mAmp. Stimulation at these LH sites induced small blood pressure changes, often with a small increase or no change in heart rate, presumably a manifestation of baroreceptor dysfunction. Repeating this stimulation greater than 6 times was shown to be pathogenic: on gross examination a darkened area was seen, mostly on the upper ventricular surface of the heart. Microscopic examination of such sites revealed subendocardial bleeding and sometimes also microinfarcts. Scanning electron microscopy revealed an unusually large number of contractures of the myofilaments. Biochemical analysis showed diffusion of catecholamines from nerves. Total myocardial blood flow increased following such stimulation, proportional to the stimulus intensity. It is pointed out that this is not contradictory to the sharply localized ischemic changes assumed to be responsible for the cardiopathy.

Visual responses to reward-related cues in inferior parietal lobule

A sample of 263 neurones was recorded in area 7a of the parietal lobe, in a monkey performing a reach task to visual targets displayed on a touch-sensitive videomonitor. The task had been operantly conditioned on food or juice rewards, and 78 (30%) of the units showed activity changes linked in some way to the reward. For most of these cells, the response was to the approach of the trainer's hand with the food reward. This specific visual response was similar irrespective of the direction of approach. Six cells increased discharge as soon as the task was completed in apparent anticipation of the reward. Another two neurones responded to missing a reward: they fired vigorously if the videoscreen was blanked in mid-trial because a target was not correctly touched. In many cases (40/78) the same cells responding to some aspect of the reward also responded to visual cues given during the task, especially the presentation of the target location. Reward-related activity in area 7a probably results from an integration of the visual and limbic inputs to this region, such that visual information which foretells behaviourally important events is emphasized.

Facilitation of pattern recognition by cuing foveation with the luminance centroid as origin of the frame of reference

The strategy for visual information processing must vary with the specific situation. We assume that in recognition of pre-learnt letter-like patterns under time-pressure conditions, mechanisms of selective attention are involved. We propose that, with simple stimuli, foveation is to the luminance centroids of such patterns, and if normally the latter has to be computed by the brain, cuing such information should improve performance. This assumption was tested on three subjects with five stimuli. In confirmation of the working hypothesis, we found significant improvements in performance (P = 0.01 or better) for each of the stimuli, with cuing to 'relevant' as compared with 'irrelevant' sites, and also when the point of foveation was nearer to the 'nodal' site. It is concluded that in pattern recognition processes, nodal regions are computed, the luminance centroid for example, for simple pattern stimuli.