Delayed development of fear-potentiated startle in rats

The developmental emergence of fear-potentiated startle was examined in rats ranging in age from 16 to 75 days. In Experiment 1, a pure tone served as the conditioned stimulus (CS) and an acoustic startle pulse served as the unconditioned stimulus (US) for fear conditioning. Fear-potentiated startle by the tone CS was observed in rats 23 days of age and older but not in rats 16 days of age. In Experiment 2, a light served as the CS. Rats 30 days of age and older showed fear-potentiated startle, whereas 23-day-old rats did not. The final experiment demonstrated that another behavioral index of fear, stimulus-elicited freezing, was observed earlier in development than fear-potentiated startle, confirming the effectiveness of the training procedure for conditioning fear. The results suggest that fear-potentiated startle is a relatively late-emerging response system, paralleling the development of conditioned autonomic changes (e.g., heart rate) rather than that of freezing.

The orienting response to brief auditory stimuli in preweanling and adult rats

The cardiac orienting response to brief auditory stimuli was measured in preweanling and adult rats. The eliciting stimulus varied in duration (2 or 10 s) and complexity (continuous or pulsing). Stimulus complexity affected response magnitude with the pulsing stimulus eliciting a larger response than the continuous stimulus. Stimulus duration affected response persistence but only when a pulsing stimulus was used. In contrast to recent research with stimuli of much longer duration, age did not significantly affect any aspect of the cardiac response to the novel auditory stimuli in the present study. These results are discussed in terms of (1) the effects of stimulus duration on the heart-rate component of the orienting response and (2) two-stage models of attention.

Delayed development of fear-potentiated startle in rats

The developmental emergence of fear-potentiated startle was examined in rats ranging in age from 16 to 75 days. In Experiment 1, a pure tone served as the conditioned stimulus (CS) and an acoustic startle pulse served as the unconditioned stimulus (US) for fear conditioning. Fear-potentiated startle by the tone CS was observed in rats 23 days of age and older but not in rats 16 days of age. In Experiment 2, a light served as the CS. Rats 30 days of age and older showed fear-potentiated startle, whereas 23-day-old rats did not. The final experiment demonstrated that another behavioral index of fear, stimulus-elicited freezing, was observed earlier in development than fear-potentiated startle, confirming the effectiveness of the training procedure for conditioning fear. The results suggest that fear-potentiated startle is a relatively late-emerging response system, paralleling the development of conditioned autonomic changes (e.g., heart rate) rather than that of freezing.

Randomized trial of oral indomethacin and terbutaline sulfate for the long-term suppression of preterm labor

OBJECTIVE

Our purpose was to determine the efficacy and safety of long-term oral tocolysis with indomethacin or terbutaline sulfate.

STUDY DESIGN

Seventy-one patients at 26 to 32 weeks' gestation admitted for preterm labor were prospectively randomized to receive oral indomethacin or terbutaline sulfate after successful intravenous tocolysis. Patients were monitored weekly for cervical change, maternal side effects, amniotic fluid volume, and constriction of the fetal ductus arteriosus. Patients receiving indomethacin were converted to terbutaline at 34 weeks or with the occurrence of fetal ductal constriction or oligohydramnios.

RESULTS

Of 71 patients randomized six were excluded after randomization. Thirty-three patients were randomized to indomethacin and thirty-two to terbutaline. There were no differences in the percentage of patients achieving 34 weeks of gestation. No differences in neonatal outcome were noted. Nine (27%) fetuses receiving indomethacin had constriction of the fetal ductus arteriosus, and 13 (38%) had oligohydramnios. Most patients on terbutaline reported beta-mimetic side effects (53%), but only one required discontinuation of therapy.

CONCLUSION

Both indomethacin and terbutaline sulfate are effective tocolytics, but major fetal side effects are common with long-term indomethacin use.

Reactivation of nonassociative memory

The orienting response to an auditory stimulus, as measured by a decrease in heart rate, habituates rapidly, and at the same rate in preweanling and adult rats. Although adult rats retain this nonassociative memory for at least 7 days, preweanling rats show extremely rapid forgetting. In the preweanling, forgetting of this nonassociative memory appears to be complete after just 24 hr (Richardson & Campbell, 1991b). The results of several experiments in the present study with preweanling rats demonstrated that this type of nonassociative memory could be reactivated by presenting a fractional component of the original eliciting stimulus just prior to testing. The effectiveness of the reactivation treatment was critically dependent upon both the number of reactivating stimuli presented and the duration of those stimuli. Reactivation was also found to be stimulus-specific in that presentation of an auditory stimulus qualitatively different from that used in training (white noise instead of a pure tone) did not reactivate the memory. Control groups in each experiment demonstrated that the reactivation treatment facilitated retrieval of the prior nonassociative memory and did not produce new learning. A possible process through which nonassociative memories can be reactivated is discussed.

Pre-preparation of the sterile instrument table for emergency cesarean section

Cesarean section instrument tables are often not prepared in advance because of concern of contamination risk. The Association of Operating Room Nurses Standards decries the use of pre-preparation of surgical instrument tables because of this risk, although there are no scientific data to support this claim. We evaluated the contamination risk of pre-preparation of surgical instrument tables, prolonged table coverage and table uncovering using a specific technique referred to as the "sardine can roll." Colony counts were positive in only seven of 180 cultures (< or = 15 colonies per plate in each instance) from six tables evaluated after prolonged coverage or uncovering, or both. These data suggest that contamination risk is slight for the uncovering technique described herein and advance table preparation (24 hours or less, never recovered) is a reasonable clinical option in units in which table preparation reduces response time in emergent clinical situations, such as cesarean section for acute fetal distress.

Perinatal ovarian cyst: a nonsurgical approach

A case of an ovarian cyst diagnosed antenatally by ultrasound and showing spontaneous resolution within 5 months after birth is presented. On the basis of this case and others reported in the literature, we recommend expectant follow-up of such lesions with operation recommended only for cysts with solid or complex components or cysts causing symptoms from large size or torsion.

The effect of prenatal alcohol exposure on attention in the rat

The effect of prenatal exposure to alcohol on the development of basal heart rate and on the elicitation and habituation of the heart rate orienting response was examined in three experiments with rats. In all experiments, Etoh dams consumed large, daily amounts of alcohol and their weight gain during pregnancy was less than that of ad lib or pairfed dams. In addition, Etoh-exposed pups weighed less and grew more slowly than their ad lib or pairfed counterparts. Although prenatal exposure to alcohol had a significant effect on the ontogeny of basal heart rate, there was no effect on the magnitude of the heart-rate response to a novel olfactory stimulus or on habituation of the heart-rate response to that stimulus. Implications of the present findings for models of alcohol-induced attention deficits are discussed.

The penicillins

The penicillins have played a major role in the treatment of many obstetric and gynecologic infections. The advent of the newer broad-spectrum penicillins has allowed their use as single-agent therapy for certain infections. Although toxicity is extremely low, disadvantages of their use include superinfection and induction of resistance. The cost of therapy is comparable with other antibiotics with similar coverage.

Developmental changes in the duration of attention to unfamiliar stimuli in the rat

The purpose of the present study was to examine developmental changes in the duration of attention to novel auditory stimuli in rats from infancy to adulthood. In all experiments, the cardiac component of the orienting response was used as the index of attention. In the first experiment 16-, 23-, 30-, and 75-day-old rats were exposed to a novel auditory stimulus for 60 s. Animals of all four ages exhibited a marked decrease in heart rate in response to this stimulus. Although there were no significant effects of age on the magnitude of the cardiac response, there were dramatic developmental differences in the persistence of the response. The 16-day-olds maintained a decrease in heart rate for the entire stimulus period, whereas heart rate returned to baseline in the 75-day-olds after only 40 s. The duration of the cardiac response of the 23- and 30-day-olds was between these extremes. In Experiments 2A and 2B the effect of stimulus complexity on duration of the cardiac response was examined. Increasing stimulus complexity prolonged the deceleratory response in the 30-day-olds (Experiment 2A), and decreasing stimulus complexity decreased the duration of the cardiac response in the 16-day-olds (Experiment 2B). The results of these experiments were discussed in the context of Cohen's and Porges's two-phase theories of attention. The findings demonstrate that the initial attention-getting or reactive phase of attention did not change with age, but that the duration of the attention-holding or sustained phase decreased substantially during development.

Developmental constraints on the expression of behavioral and heart-rate orienting responses: II. The role of ambient temperature

The effect of ambient temperature on the expression of behavioral and heart-rate orienting responses to a novel olfactory stimulus was examined in rats 1-18 days of age. There was no effect of ambient temperature on the behavioral orienting responses at any age. Ambient temperature did influence the expression of the heart-rate orienting response and did so differentially as a function of age. The implications of these findings for developmental models of attention and cognition are discussed.

Quantification of cervical change: relationship to preterm delivery in the multifetal gestation

Prematurity is the major contributor to the very high perinatal morbidity and mortality associated with multifetal gestations. Antepartum cervical evaluation has been suggested as a way to better define the risk of preterm delivery in multifetal gestations. Weekly digital cervical examinations were performed in 86 twin and 7 triplet gestations that were being monitored in a special antepartum clinic. A cervical score was calculated from each examination by subtracting cervical dilatation in centimeters from cervical length in centimeters. Cervical scores decline gradually with advancing gestation and are influenced by parity and subsequent preterm delivery. Intervals until delivery decrease significantly with lower cervical scores. A cervical score less than or equal to 0 on or before 34 weeks' gestation was strongly predictive of preterm delivery (75%). Only 2 of 78 (2.6%) with a score greater than 0 were delivered within 1 week of the examination. Cervical scoring is a simple, quantifiable, reproducible, and safe method of evaluating preterm delivery risk. An understanding of the prognostic significance of specific cervical scores may be of value in determining the need for obstetric intervention.

Uterine activity after preterm premature rupture of the membranes

Preterm premature rupture of the membranes complicates few pregnancies but is a major contributor to overall perinatal morbidity and mortality. Although a reduced incidence of preterm premature rupture of fetal membranes has been reported in women who had antepartum uterine activity monitoring, there are few data regarding uterine activity after preterm premature rupture of fetal membranes. Therefore daily uterine activity monitoring was performed in 101 consecutive women with preterm premature rupture of fetal membranes between 26 and 34 weeks' gestation. The mean gestational ages at rupture and delivery were 31.4 +/- 2.3 and 33.7 +/- 4.5 weeks, respectively. A significant increase in contraction frequency was identified within 24 hours of onset of preterm labor (p less than 0.005). A contraction frequency of four or more per hour predicted the onset of labor within 24 hours with a sensitivity of 72%, a specificity of 90%, a positive predictive value of 54%, and a negative predictive value of 95%. These results indicate that most women with preterm premature rupture of fetal membranes exhibit a baseline contraction frequency that is similar to that of women with intact membranes and premature labor. An abrupt increase in contraction frequency is a warning of impending labor.

Spectroscopic Observations of Bright and Dark Emission Features on the Night Side of Venus

Near-infrared spectra of a bright and a dark thermal emission feature on the night side of Venus have been obtained from 2.2 to 2.5 micrometers (microm) at a spectral resolution of 1200 to 1500. Both bright and dark features show numerous weak absorption bands produced by CO(2), CO, water vapor, and other gases. The bright feature (hot spot) emits more radiation than the dark feature (cold spot) throughout this spectral region, but the largest contrasts occur between 2.21 and 2.32 microm, where H(2)SO(4) clouds and a weak CO(2) band provide the only known sources of extinction. The contrast decreases by 55 to 65 percent at wavelengths longer than 2.34 microm, where CO, clouds, and water vapor also absorb and scatter upwelling radiation. This contrast reduction may provide direct spectroscopic evidence for horizontal variations in the water vapor concentrations in the Venus atmosphere at levels below the cloud tops.

Objective tocodynamometry identifies labor onset earlier than subjective maternal perception

The ability of women instructed in self-detection of uterine contractions to identify the abrupt rise in uterine activity known to precede the onset of labor has not been evaluated. This study was designed to assess the temporal relationship between objective uterine activity monitoring, subjective maternal perception of uterine activity above a commonly used threshold value (four or more contractions per hour), and progressive cervical change. Daily tocodynamometry (7-9 AM) was recorded in 79 women with preterm premature rupture of the membranes from admission until the onset of spontaneous labor (5.3 +/- 6.3 days). The subjects were at bed rest, received no tocolytic therapy, and were instructed in the signs of labor and uterine self-palpation. Patients simultaneously provided a subjective assessment of uterine activity (four or more contractions per hour). The majority of uterine activity recordings (78%) revealed fewer than four contractions per hour, and the patients' subjective reports agreed in almost all instances (97.6%). On 91 days, four or more contractions per hour were recorded objectively, but the patients' subjective reports agreed in only 25 instances (27%). On the day of labor onset, significantly more women had an objective assessment (32%) (P less than or equal to .01). Patients subjectively identified labor onset 10.6 +/- 6.7 hours after objective monitoring indicated increased uterine activity, and when subjectively identified, both cervical dilatation (4.9 +/- 2.5 cm) and effacement (85 +/- 30%) were significantly advanced (P less than or equal to .001) compared with the admission examination (1.1 +/- 1.2 cm; 20 +/- 30%).(ABSTRACT TRUNCATED AT 250 WORDS)

Disruption of noradrenergic, but not serotonergic or opiate, functioning blocks both cardiac and behavioral components of the orienting response in preweanling rats

Previous work in this laboratory established that selective attention, as measured by the behavioral and autonomic expressions of the orienting response (OR), is not disrupted by either dopaminergic or cholinergic receptor blockade. The present experiments extended this pharmacological analysis of the OR. In Experiment 1, preweanling rats were injected with methysergide maleate, a serotonin receptor blocker. Neither the behavioral nor the heart rate (HR) component of the OR was attenuated. In Experiment 2, the opiate receptor blocker naltrexone also failed to inhibit the HR and behavioral expressions of the OR. alpha-1 adrenergic receptor blockade with WB-4101 in Experiment 3 abolished both the HR and behavioral ORs to the pulsating tone. In Experiment 4, clonidine, which inhibits release of norepinephrine by stimulating alpha-2 autoreceptors, attenuated both behavioral and HR ORs to the pulsating tone in a dose-dependent manner. These data, in combination with the prior findings, suggest that norepinephrine is critically involved in the central process underlying the OR in the rat. Dopaminergic, cholinergic, serotonergic, and opiate receptor blockades do not impair selective attention as indexed by HR and behavioral ORs to an auditory stimulus. In contrast, disruption of noradrenergic functioning via either alpha-1 receptor blockade or alpha-2 receptor stimulation disrupts both the HR and behavioral components of the OR. These results indicate that integrity of central noradrenergic functioning is essential for expression of the OR and for stimulus-directed attention.

Genetic analysis of the enhancer requirements for polyomavirus DNA replication in mice

In this report, we describe the first systematic analysis of the genetic requirements for polyomavirus (Py) enhancer-activated viral DNA replication during the acute phase of infection in mice. Four mutants were made which substituted XhoI sites for conserved enhancer consensus sequences (adenovirus type 5 E1A, c-fos, simian virus 40, and a glucocorticoidlike consensus sequence). Viral DNA replication in infected mouse organs was measured by DNA blot analysis. Only the loss of the glucocorticoidlike consensus sequence element significantly reduced Py DNA replication in the kidneys, the primary target organ for viral replication. The loss of the c-fos, adenovirus type 5 E1A, or simian virus 40 consensus sequences, however, expanded organ-specific viral DNA replication, relative to wild-type Py, by allowing high-level replication in the pancreas or heart or both. Analysis of Py variants selected for replication in undifferentiated embryonal carcinoma cell lines (PyF441, PyF111) showed that there was little change in levels of viral DNA replication in kidneys and other organs as compared with those in the wild-type virus. If the entire B enhancer is deleted, only low overall levels of viral replication are observed. Wild-type levels of replication in the kidneys can be reconstituted by addition of a single domain from within the A enhancer (nucleotides 5094 to 5132) to the B enhancer deletion virus, suggesting that a single domain from the A enhancer can functionally substitute for the entire B enhancer. This also indicates that the determinants for kidney-specific replication are not found in the B enhancer.

Disruption and recovery of the orienting response following shock or context change in preweanling rats

Previous research has shown that placement of preweanling rats in an unfamiliar environment inhibits both heart rate and behavioral orienting responses to an auditory stimulus, and that the orienting response gradually reappears during the following 15 min. Four experiments designed to evaluate two potential explanations of this effect were conducted. If the arousal induced by an unfamiliar environment disrupts sensory information processing, so should the arousal induced by mild electric shock. In two experiments, the orienting response was inhibited in proportion to number of shocks received and rate of recovery was comparable to that observed in the unfamiliar environment. New environments also contain many unfamiliar stimuli which may overload the rats' limited information processing capacity. In two experiments a change in environmental stimulation was shown to inhibit the orienting response. Recovery of the orienting response followed the same time course as that seen following shock or placement in an unfamiliar environment. Although the results of this study clearly demonstrate environmental inhibition of the orienting response, they provide little support for either the "arousal" or the "information overload" hypotheses of orienting response inhibition. The implications of these data for current theoretical conceptualizations of the orienting response are discussed.

Effect of maternal presence on the cardiac and behavioral responses to shock in rats as a function of age

In two experiments the effects of the presence of an anesthetized lactating dam on the developing rat's response to a series of mildly painful shocks was examined. Both cardiac and behavioral responses to the shock stimulus were recorded. In the first experiment animals were tested at either 16, 20, or 24 days of age. The presence of the anesthetized dam markedly reduced the behavioral response to shock of the 16-day-old but not the older rats. A similar pattern of results was obtained with the shock-elicited tachycardia. The second experiment replicated these results with the 16-day-old rat and also demonstrated that being shocked in the presence of a lactating dam influences the animal's reaction to a subsequent series of shocks given when it is alone. The results of these two experiments are discussed in terms of other studies that have examined the influence of maternal presence on the developing animal's response to stressful or painful stimuli.

Role of the central nucleus of the amygdala in olfactory heart rate conditioning

The role of the central nucleus of the amygdala on olfactory heart rate conditioning in the infant rat was investigated. The conditioned stimulus consisted of a 10-s presentation of grape juice odor that was immediately followed by a 0.5-s, 0.35-mA subcutaneous shock. A sensitization control group was also run. Three days prior to testing, Ss received either bilateral electrolytic lesions of the central nucleus of the amygdala, sham lesions, or were left unperturbed. Results show that damage to the central nucleus of the amygdala severely impaired olfactory heart rate conditioning but that it had no deleterious effect on the heart rate orienting response to that stimulus or on the heart rate unconditioned response to shock. Results are analogous to those in previous research on auditory heart rate conditioning and suggest that the central nucleus of the amygdala may constitute a necessary stage in the transduction of a conditioned stimulus into a cardiac conditioned response regardless of sensory modality.