Temperament-induced father-son family dysfunction: etiological implications for child behavior problems and substance abuse

The impact on family dysfunction and child behavior problems of difficult affective temperament in fathers and sons was investigated. In preadolescent sons of both substance-abusing and non-substance-abusing fathers, temperament was found to mediate the relationship between family history of substance abuse and family dysfunction.

Aggressivity, inattention, hyperactivity, and impulsivity in boys at high and low risk for substance abuse

Aggressivity, inattention, hyperactivity, and impulsivity are cardinal dimensions of externalizing behavior problems of childhood. They are diagnostic and clinical features of childhood disorders, and are thought to be linked to the subsequent development of adult disorders such as substance abuse (SA). Little is known, however, about the convergent and discriminant validity of these four constructs. We used multiple measures to develop indices of aggressivity, inattention, hyperactivity, and impulsivity in a sample of 10- to 12-year-old boys (N = 183) with and without a family history of SA. Data were taken from mother reports, child reports, teacher reports, and laboratory tasks. The study aims were (1) to test the convergent and discriminant validity of aggressivity, inattention, hyperactivity, and impulsivity; (2) to examine whether the data were consistent with a model specifying the four constructs as indicators of one superordinate factor; and (3) to differentiate boys with and without a family history of SA in construct scores. The results supported the convergent and discriminant validity of the four constructs. Although discriminable, the constructs covaried strongly and were consistent with a model specifying them as indicators of a single superordinate factor. Boys with a family history of substance abuse scored higher than control boys on aggressivity, inattention, and impulsivity scores, but the groups did not differ on hyperactivity scores. The results are discussed in terms of the role of childhood behavior problems in vulnerability to SA.

Personality, social environment, and past behavior as predictors of late adolescent alcohol use

Personality, as measured by subscales of the Sensation Seeking Scale (Zuckerman, 1979), social environmental exposure to alcohol use measured by parental and peer alcohol use, and past alcohol use were examined as predictors of late adolescent alcohol use in a sample of 575 1st-year college students. Efficacious predictors, in order of importance, include peer alcohol use, disinhibition, and age of first intoxication. The results support the relative importance of peer networks over parental models in determining late adolescent alcohol use. Our combinatorial model of personality, social environment, and past behavior is one such model in a growing trend toward the use of interactional models for predicting behavior.

Experimental design in alcohol administration research: limitations and alternatives in the manipulation of dosage-set

This article reviews literature on the utility of different experimental designs in human alcohol administration research, with particular attention to the balanced-placebo design (BPD). Many believe the BPD can orthogonally manipulate alcohol's pharmacological effects and the effects of dosage-set (believing that one has consumed a certain amount of alcohol). However, research has accumulated that suggests these effects cannot be disentangled at moderate to high doses of alcohol. The strengths and weaknesses of a number of experimental designs are discussed with regard to the variables that designs can assess or control. Methodological issues in deception conditions and manipulation checks are reviewed. Topics in need of empirical investigation are highlighted. It is concluded that the appropriate alcohol administration design depends on the particular theoretical and methodological issues of a research program.

Topographical analysis of canine parvovirus virions and recombinant VP2 capsids

The distribution of epitopes defined by monoclonal antibodies (MAbs) on the surface of canine parvovirus (CPV) virions and recombinant VP2-capsids was established using immunoelectron microscopy. A correlation appeared to exist between the linear position, neutralizing activity and immunogold staining. Both viral capsids and recombinant capsids gave similar patterns of immunostaining. The neutralizing MAbs that recognized epitopes not previously identified by Pepscan or immunoblotting gave a clear staining. However, MAbs 3C9 and 3C10, identified by Pepscan and immunoblotting as recognizing linear epitopes, did not show any labelling (3C9) or only scattered labelling (3C10). MAb 3C9 recognizes an N-terminal domain of VP2. MAb 4AG6, which recognizes the same linear epitope as 3C10, did not bind to the capsids, indicating a different orientation. An immunofluorescence assay was performed to supplement the B cell epitope characterization. In contrast to other MAbs that gave nuclear and cytoplasmic staining, MAb 3C9 gave a preferential nuclear staining. Based on these results, it is hypothesized that the N terminus of VP2 is barely, or not at all, exposed on the surface of the native virions, but becomes accessible after some virion steric change (e.g. after attachment to the cell receptor).

Chemiluminescent DNA sequencing with multiplex labeling

Chemiluminescent detection techniques provide a sensitive, nonradioactive method for DNA sequencing. Standard Sanger dideoxy DNA sequencing reactions are initiated with biotinylated primers, separated by gel electrophoresis, transferred to nylon membrane and detected utilizing chemiluminescent 1,2-dioxetane substrates for alkaline phosphatase. A multiplex-labeling method was developed to permit detection of several overlapping sets of DNA sequence information on a single membrane, thereby increasing the productivity of a single gel electrophoretic separation. Primers labeled with different haptens at the 5' end were used to perform separate sequencing reactions. These were mixed together prior to electrophoresis, and the individual sequencing products sequentially detected using hapten-specific reagents. We incorporated primers labeled with biotin, digoxigenin, 2,4-dinitrophenyl or fluorescein, each consecutively detected with a hapten-specific alkaline phosphatase conjugate and CSPD 1,2-dioxetane chemiluminescent substrate. To further increase the amount of DNA sequence data that can be obtained from a single membrane, a direct transfer electrophoresis apparatus was used for simultaneous separation of the DNA sequencing reactions and membrane transfer. The resulting increased separation of the high molecular weight fragments yields 350-450 bp of readable DNA sequence data from each template. Chemiluminescent detection of overlapping sets of DNA sequencing reactions utilizing multiplex labeling, combined with direct transfer electrophoresis, provides an efficient, nonradioactive method for DNA sequencing.

Measurement of acute tolerance to alcohol in human subjects

Acute tolerance can be defined as a decrease in response to alcohol within a single exposure to the drug, which occurs independently of changes in blood alcohol concentrations (BACs). BACs change over time in most human alcohol administration studies, and computational techniques that account for these changes must be used to measure the rate of acute tolerance development. The most widely used acute tolerance measure in human research is often called the Mellanby effect, and involves the comparison of responses at the same BAC on the ascending and descending limbs of the blood alcohol curve. We compared the Mellanby measure with two other measures of acute tolerance: a conceptually similar area under the curve measure, and a slope function approach that used data only from the descending limb of the blood alcohol curve. The measures were intercorrelated and discussed with regard to empirical and conceptual issues. Exploratory comparisons of those with and without a family history of alcoholism are reported. Methodological recommendations for the computation of acute tolerance are made. The results suggest new methods for measuring the rate of acquisition of acute tolerance, and suggest areas for future research on tolerance-proneness and risk for alcoholism.

Anticipated stimulant and sedative effects of alcohol vary with dosage and limb of the blood alcohol curve

Anticipations of alcohol's effects reportedly covary with the amount consumed. Alcohol's stimulant and sedative properties also may contribute to alcohol consumption. Anticipations of stimulant and sedative effects have not been investigated extensively. The present study examined the stimulant and sedative effects subjects anticipated experiencing if they were on the ascending or descending limb of the blood alcohol curve after consuming two or four standard drinks. One hundred sixty-six undergraduates reported anticipating greater stimulant effects than sedative effects on the ascending limb of the blood alcohol curve, and greater sedative effects than stimulant effects on the descending limb. Subjects also reported anticipating larger effects with larger doses. Men tended to anticipate smaller effects than women. These results support the notion that specific anticipated effects vary with dosage and the limb of blood alcohol curve, suggesting that the study of anticipated effects of alcohol should employ these variables.

Development and validation of the Biphasic Alcohol Effects Scale

Alcohol produces stimulant and sedative effects, and both types of effect are thought to influence drinking practices. This article describes the development and preliminary validation of the Biphasic Alcohol Effects Scale (BAES), a self-report, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. An initial pool of 12 stimulant and 12 sedative items was derived from previous alcohol effect measures, and from descriptors of intoxication generated by subjects during interviews conducted on both the ascending and descending limbs of the blood alcohol curve. This item pool was administered to a sample of sober college students twice, with a 2-week inter-test interval. Items that were difficult to comprehend, or that had high ratings or low test-retest reliability, were eliminated, resulting in a seven-item stimulant subscale and a seven-item sedative subscale. These subscales showed high internal consistency in a sober state, which was not improved by additional item deletion. The data from this study also provided a basis for revising the instructions for the BAES. The new 14-item instrument was then given to 30 male and 12 female nonalcoholics on the ascending and descending limbs of the blood alcohol curve, after the administration of either 0.75 ml/kg alcohol (males) or 0.65 ml/kg alcohol (females). Internal consistency was high for both BAES subscales on both limbs of the blood alcohol curve (Cronbach's alpha = 0.85 to 0.94), and was not improved by additional item deletion. Factor analyses conducted on both limbs of the blood alcohol curve supported the proposed factor structure of the BAES.(ABSTRACT TRUNCATED AT 250 WORDS)

Patterns of polydrug use in adolescent alcohol abusers

It is clear that alcohol abuse by adolescents rarely exists today without the concurrent use of other drugs. Little is known, however, about the extent and patterns of polydrug use in clinical samples of adolescent alcohol abusers. The present study examined patterns and correlates of polydrug use in 72 adolescents admitted to an inpatient treatment unit with a diagnosis of alcohol abuse. The degree of lifetime involvement with 10 different drug classes was assessed in a clinical interview. Ninety-six percent of subjects reported use of drugs other than alcohol, and there were substantial rates of use for most drug classes. Males and females did not differ in the percentage of subjects who used different drug classes or in severity of involvement ratings for these drug classes. The data suggest a consistent ordering of drug classes, such that the use of drug classes later in this order was rare in the absence of the use of drug classes earlier in the order. The data suggest that polydrug use characterizes the large majority of adolescent alcohol abusers, and that such use is often quite extensive. Implications for assessment and treatment are discussed.

Heightened motor activity level in male offspring of substance abusing fathers

Heightened activity level has been implicated in the liability for substance abuse, but no prior research has directly examined motor activity in a sample of prepubertal boys at high-risk for substance abuse. The magnitude of behavioral activity of 10-12 year-old sons of substance abusing fathers (SA +) (n = 42) and controls (SA -) (n = 60) was assessed using a microprocessor-based activity monitor during tasks that demanded significant concentration, effort, and constraint on motor activity, and when no such demands were present. Psychiatric status, measures of temperament traits, and measures of internalizing and externalizing behaviors were also obtained on the boys. Although the groups did not differ during the lower demand task, SA + boys showed significantly greater motor activity than SA - boys during the tasks that required concerted effort, attention, and behavioral suppression. Multiple regression analysis indicated that under the low-demand condition, the presence of an anxiety disorder in the boy was the only significant predictor of activity level. However, under the conditions that demanded effort, concerted attention and behavioral suppression, SA + group membership, and having low rhythmicity (as a temperament trait) predicted heightened activity. Statistically controlling for rhythmicity, the SA + boys were estimated to have about 24% higher activity than control boys. The results suggest that heightened motor activity may be associated with susceptibility to substance abuse.

Studies on a wearable, electronic, transdermal alcohol sensor

The measurement of alcohol consumption over long time periods is important for monitoring treatment outcome and for research applications. Giner, Inc. has developed a wearable device that senses ethanol vapor at the surface of the skin, using an electrochemical cell that produces a continuous current signal proportional to ethanol concentration. A thermistor monitors continuous contact of the sensor with the skin, and a data-acquisition/logic circuit stores days of data recorded at 2- to 5-min intervals. Testing of this novel ethanol sensor/recorder was conducted on nonalcoholic human subjects consuming known quantities of ethanol and on intoxicated alcoholic subjects. The transdermal sensor signal closely follows the pattern of the blood alcohol concentration curve, although with a delay. This paper describes the concept of electrochemical ethanol measurement and presents some of the clinical data collected in support of the sensor/recorder development.

Patterns and predictors of simultaneous and concurrent use of alcohol, tobacco, marijuana, and hallucinogens in first-year college students

Polydrug use produces important health and safety risks. Little research has examined whether multiple drugs are used simultaneously (at the same time or in close temporal sequence). Instead, researchers have assessed concurrent polydrug use (the use of multiple drugs within a given time period such as years or months). The research here examined patterns and predictors of both simultaneous and concurrent polydrug use in 575 first-year college students. Both concurrent and simultaneous polydrug use were common for alcohol, tobacco, and marijuana. The percentage of concurrent polydrug users who were also simultaneous polydrug users ranged from 82% to 93% across subgroups defined by gender and the use of a single drug. Male gender, high levels of sensation seeking, and frequent alcohol use predicted single-drug versus polydrug use status as well as simultaneous polydrug use. Patterns and predictors of simultaneous and concurrent polydrug use should be addressed in prevention research and preventative interventions.

Estimation of blood alcohol concentrations in young male drinkers

This research examined individual differences in the ability to self-monitor the effects of alcohol. Thirty-nine male subjects consumed 0.75 ml/kg alcohol and estimated their blood alcohol concentrations (BACs) at peak BAC and on the ascending and descending limbs of the blood alcohol curve. Family history of alcohol dependence did not affect the accuracy of estimation of BACs. Subjects who reported lower levels of subjective intoxication underestimated their BACs more than did subjects who reported higher levels of subjective intoxication. Subjects with less behavioral impairment underestimated their BACs more than subjects with greater behavioral impairment on the ascending limb of the blood alcohol curve. Accuracy was better on the ascending limb compared with peak BAC and the descending limb, and accuracy became worse over time on the descending limb. It appears that cues to the effects of alcohol rapidly become unavailable on the descending limb, which may contribute to decisions concerning further alcohol consumption and driving after drinking.

Alcohol content variation in the assessment of alcohol consumption

Most investigators have not adequately accounted for the alcohol content of different beverages when assessing alcohol consumption. Considerable research has assessed consumption in terms of the number of standard drinks. A problem with standard drink measures is that different distilled spirits, wines, and malt beverages vary considerably in alcohol content. State-to-state and brand-to-brand variations in the strength of different malt beverage brands are provided, as malt beverage alcohol contents are not contained on labels due to federal and state regulations. Ignoring alcohol content variation when estimating consumption can produce a large amount of error. Alcohol consumption should be assessed in terms of the number, size, and alcohol content of beverages.

Sedation for paediatric computerized tomography--a double-blind assessment of rectal midazolam

This double-blind study investigated the rectal administration of midazolam as an alternative to general anaesthesia for elective computerized tomography (CT) of the brain. Thirty children were randomly allocated to receive either midazolam 0.3 mg kg-1 (Group 1) or midazolam 0.6 mg kg-1 (Group 2) by the rectal route. Sedation was obtained in 13 children in Group 1 and 12 in Group 2 but this was only satisfactory for scanning in seven children in Group 1 and eight in Group 2. We concluded that although the technique produced sedation, it did not reliably produce satisfactory conditions for CT scanning.

The Michigan Alcoholism Screening Test: false positives in a college student sample

The Michigan Alcoholism Screening Test (MAST), designed and validated by Selzer (1971), is widely used to screen for persons with alcohol problems. The most recent version of the MAST includes the question "Have you ever attended a meeting of Alcoholics Anonymous (AA)?" This question may contribute to false positive identifications, as it does not specify whether attendance is for the subject's own problem drinking. In the current research, 114 college students completed the MAST along with an additional question: "Have you ever attended a meeting of Alcoholics Anonymous because of your own problem drinking?" The results indicated that seven of 114 subjects (6.1%) attained inflated MAST scores because they had attended an Alcoholics Anonymous meeting, but not for their own problem drinking. It is suggested that the wording to the Alcoholics Anonymous question on the MAST be changed to reduce the number of false positive identifications produced by this instrument.

Some boundary conditions for effective use of alcohol placebos

The present research assessed the conditions under which subjects who consume alcohol and those who consume a placebo beverage, and who report consuming alcohol on a manipulation check question, are equivalent with respect to subjective responses to alcohol. Male subjects were told that they were drinking alcohol and consumed one of four beverages: alcoholic beer, nonalcoholic beer, vodka and tonic with lime, or tonic with lime. Measures of subjective intoxication, body sensations and breath alcohol were taken at different times during and after beverage consumption. Subjective intoxication ratings were higher for subjects who received alcohol, compared to subjects who received a placebo and reported consuming alcohol, when alcohol subjects achieved blood alcohol concentrations at and above .04%. These two groups did not differ in subjective intoxication ratings when alcohol subjects achieved blood alcohol concentrations below .04%. These data suggest that the orthogonal manipulation of alcohol consumption and expectancy effects is problematic at and above blood alcohol concentrations of .04%.

Extradural methadone and bupivacaine in labour

We performed a double-blind placebo-controlled study of the effects of extradural administration of methadone 5 mg or saline, followed by bupivacaine, in 42 women in early labour. Motor block and pain scores were significantly less in the methadone group. The requirement for bupivacaine also was reduced by methadone, but this was not statistically significant. There were no troublesome side effects attributable to methadone.

Recurrent bronchospasm during anaesthesia

Bronchospasm complicated several anaesthetics in a diabetic patient with chronic renal failure. The bronchospasm was accompanied frequently by bradycardia. The pathophysiology, treatment and implications for future anaesthetic management are discussed.

The malpractice morass and practice activities of orthodontists

This study examined the association between malpractice, measured by perception and experience scores, and practice activities of orthodontists. Data from 184 Florida orthodontists were obtained in the form of continuous/ordinal responses to survey questions in five areas: demographic, work load, personality, perception of the malpractice environment, and practice activities (malpractice experience, record taking, disclosure, and rapport). Mutually exclusive recency categories were selected on the basis of when an activity was last performed. Descriptive statistics and plots of the data were examined. A malpractice experience score for each respondent was determined by means of factor analysis procedures on the activity question responses. The association between perception/experience scores and responses to activity, demographic, work load, and personality questions were examined with the use of stepwise multiple regression procedures. The results indicated that practice activities, in the areas of record taking and doctor-patient rapport, were moderately associated with both experience scores (R2 = 0.47, p = 0.08) and perception scores (R2 = 0.29, p less than 0.06). Perception of the malpractice environment was associated with practice activities of orthodontists but to a lesser extent than active experiences in that environment were.

Personality risk and alcohol consumption: a latent variable analysis

Several studies report modest correlations between measures of personality and measures of alcohol consumption. These results have led many to conclude that the relation between personality characteristics and drinking is weak, and that studying such a relation may not be fruitful. Nevertheless, the magnitude of the correlations between measures of certain personality characteristics and drinking may be attenuated due to the imperfect reliability of the measures. By viewing specific measures of personality, and alcohol consumption as fallible indicators of underlying constructs, and using confirmatory factor analysis to estimate the relation between them, a correlation of .80 was found, implying that the relation between personality and drinking may be stronger than correlational analyses suggest.

Ascending and descending rates of change in blood alcohol concentrations and subjective intoxication ratings

Subjective feelings of intoxication help determine drinking-related behavior. Most experiments in this area have examined levels of intoxication at different blood alcohol concentrations (BACs) rather than the rate of change of these variables over time. In the present experiments, the rate of change of BACs and of intoxication ratings were compared on both the ascending and the descending limbs of these variables after alcohol challenge. BACs and intoxication ratings reached peak values at the same time when alcohol consumption took 55 min. However, when consumption was rapid (10 min), intoxication ratings reached peak values earlier than did BACs. In both experiments, intoxication ratings returned to baseline sooner than did BACs. The results suggest that internal cues to the effects of alcohol decline rapidly on the descending limb of the blood alcohol curve. The present methodology provides a way to compare the rate of change of variables with different measurement scales.

Identification of nonalcoholic and alcoholic beers: effects of consumption practices and beer brand

Because nonalcoholic beer provides sensory cues that simulate alcoholic beer, this beverage may be more effective than other placebos in contributing to a credible manipulation of expectancy to receive alcohol. The present experiment assessed the sensory identification of nonalcoholic and alcoholic beers. Subjects with higher beer consumption practices were more accurate than subjects with lower beer consumption practices in the identification of nonalcoholic beers. Brand of nonalcoholic beer affected the identification performance of subjects with lower beer consumption practices.

Joint angle feedback and biomechanical gait analysis in stroke patients: a case report

The purpose of this case report is to demonstrate the use of gait analysis and computer-assisted visual and auditory feedback (CAF) in the treatment of a patient with stroke secondary to hemiplegia. Two-dimensional kinematic and kinetic gait analyses were performed to determine the objectives of treatment and to evaluate the results. The CAF hardware and software permitted immediate visual feedback of performance relative to the desired target with auditory reinforcement if the target was reached in the desired phase of the gait cycle. The objective of the treatment was to increase knee flexion during push-off and pull-off. After four weekly treatments, the patient's gait velocity and stride length, in addition to transfers between kinetic energy and potential energy, were significantly improved. The patient demonstrated a downward trend in total mechanical energy costs and an upward trend in the amount of energy conservation, as well as increased knee flexion. These promising results indicate a need for further research into the use of CAF as a tool in motor learning for rehabilitation.

Effects of alcohol on the acoustic-phonetic properties of speech: perceptual and acoustic analyses

This report summarizes the results of a series of studies that examined the effects of alcohol on the acoustic-phonetic properties of speech. Audio recordings were made of male talkers producing lists of sentences under a sober condition and an intoxicated condition. These speech samples were then subjected to perceptual and acoustic analyses. In one perceptual experiment, listeners heard matched pairs of sentences from four talkers and were required to identify the sentence that was produced while the talker was intoxicated. In a second perceptual experiment, Indiana State Troopers and college undergraduates were required to judge whether individual sentences presented in isolation were produced in a sober or an intoxicated condition. The results of the perceptual experiments indicated that groups of listeners can significantly discriminate between speech samples produced under sober and intoxicated conditions. For acoustic analyses, digital signal processing techniques were used to measure acoustic-phonetic changes that took place in speech production when the talker was intoxicated. The results of the acoustical analyses revealed consistent and well-defined changes in speech articulation between sober and intoxicated conditions. Because speech production requires fine motor control and timing of the articulators, it may be possible to use acoustic-phonetic measures as sensitive indices of sensory-motor impairment due to alcohol consumption.

Effects of talker variability on recall of spoken word lists

Three experiments were conducted to investigate recall of lists of words containing items spoken by either a single talker or by different talkers. In each experiment, recall of early list items was better for lists spoken by a single talker than for lists of the same words spoken by different talkers. The use of a memory preload procedure demonstrated that recall of visually presented preload digits was superior when the words in a subsequent list were spoken by a single talker than by different talkers. In addition, a retroactive interference task demonstrated that the effects of talker variability on the recall of early list items were not due to use of talker-specific acoustic cues in working memory at the time of recall. Taken together, the results suggest that word lists produced by different talkers require more processing resources in working memory than do lists produced by a single talker. The findings are discussed in terms of the role that active rehearsal plays in the transfer of spoken items into long-term memory and the factors that may affect the efficiency of rehearsal.

Some effects of talker variability on spoken word recognition

The perceptual consequences of trial-to-trial changes in the voice of the talker on spoken word recognition were examined. The results from a series of experiments using perceptual identification and naming tasks demonstrated that perceptual performance decreases when the voice of the talker changes from trial to trial compared to performance when the voice on each trial remains the same. In addition, the effects of talker variability on word recognition appeared to be more robust and less dependent on task than the effects of word frequency and lexical structure. Possible hypotheses regarding the nature of the processes giving rise to these effects are discussed, with particular attention to the idea that the processing of information about the talker's voice is intimately related to early perceptual processes that extract acoustic-phonetic information from the speech signal.

Transcutaneous noninvasive monitoring of carbon dioxide tension

We evaluated the accuracy of a new device for continuous noninvasive measurement of cutaneous PCO2. The Hewlett-Packard capnometer (model 47210/HA) works by means of an infrared transducer applied to the forearm over an area of skin that has been stripped of the stratum corneum. Capnometer transcutaneous carbon dioxide pressure (CPCO2) was compared with arterial carbon dioxide pressure (PaCO2) during 60 simultaneously obtained measurements in 13 hemodynamically stable patients. Each patient was studied for 1 1/2 to 5 hours, and a wide range of PaCO2 values (21 to 82 mm Hg) was represented. The data show a clinically significant relationship whereby PaCO2 = CPCO2 - 4.13, with a SE of +/- 2.19 mm Hg. Clinical usefulness of noninvasive cutaneous CO2 monitoring can be foreseen in patients whose ventilatory support is being tapered, in those with respiratory depression caused by various neuromuscular disorders, and in patients with chronic obstructive pulmonary disease and acute respiratory failure. Our results indicate that continuous transcutaneous CPCO2 measurements are safe and accurate and strongly suggest that they can be of clinical usefulness in a select group of hemodynamically stable patients.