A study of three cases of familial related agenesis of the corpus callosum

This paper provides data on a family in which three members, all female, have been diagnosed as having agenesis of the corpus callosum. That all three acallosal individuals came from the same family and showed relatively uniform neuropsychological impairment and could be compared in similar terms with their "callosal" siblings, also female, provides a unique sample. Inter-hemispheric transfer, psychometric measures, and motor and cognitive function were examined in the acallosal individuals, all of whom had borderline to low-average intelligence, with results compared to their non-acallosal siblings. The data indicated that all acallosal individuals exhibited deficits with the cognitive tests indicating difficulties of inter-hemispheric transfer of tactile information, difficulties in some areas of memory and, at least as far as the children are concerned, a marked difference in Verbal IQ and Performance IQ.

Theory of mind and executive functions in normal human aging and Parkinson's disease

Although the majority of research in theory of mind (TOM) has focused on young children or individuals with autism, recent investigations have begun to look at TOM throughout the lifespan and in other neurological and psychiatric populations. Some have suggested that TOM may represent a dissociable, modular brain system that is related to, but separable, from other brain functions including executive functions (EF). Recently, studies have shown that TOM performance can be compromised following an acquired brain insult (e.g., damage to the right hemisphere). However, the relationship of such impaired TOM performance to other brain functions in these cases has not been explored. This study investigated the effects of both normal human aging and Parkinson's disease on TOM. The relationship of TOM performance and EF in these groups was also examined. The results suggested that although TOM performance appeared compromised in the group of individuals with Parkinson's disease, the elderly control participants were relatively unimpaired relative to younger individuals. Significant relationships between several measures of TOM and EF were also found. The implications of these findings, and also the finding that failure on one measure of TOM did not necessarily predict failure on all measures of TOM, are discussed.

Implications of test revisions for research

Test revisions are increasingly common in psychology and neuropsychology in particular. However, such revisions may alter in complex ways the kind of information obtained, and they may assess traits, abilities, and conditions in ways different from earlier versions. This article outlines some of the problems associated with the revision of tests facing clinicians and researchers. Three broad classes of revision are considered. Part 1 considers the aging of tests, part 2 concerns the aging of participants, and part 3 considers changes in test format. Although the article focuses largely on measures of intelligence and personality, the issues addressed in the article apply to other tests and assessment domains as well.

Implications of test revisions for research

Test revisions are increasingly common in psychology and neuropsychology in particular. However, such revisions may alter in complex ways the kind of information obtained, and they may assess traits, abilities, and conditions in ways different from earlier versions. This article outlines some of the problems associated with the revision of tests facing clinicians and researchers. Three broad classes of revision are considered. Part 1 considers the aging of tests, part 2 concerns the aging of participants, and part 3 considers changes in test format. Although the article focuses largely on measures of intelligence and personality, the issues addressed in the article apply to other tests and assessment domains as well.

An evaluation of the Faces Pain Scale with young children

The psychometric characteristics of the Faces Pain Scale (FPS) were evaluated in three groups of preschool and school-aged children (3. 5-4.5; 4.5-5.5 and 5.5-6.5 years, respectively). The FPS was adequately comprehended by even young children. It was easily administered and was valid and discriminating. It did not, however, possess the linear scalability claimed by its authors.

Left anterior lobectomy and category-specific naming

Damasio and colleagues (1996) have proposed that the left anterior temporal region supports knowledge pertaining to living objects, whereas more posterior temporal regions play a critical role in naming nonliving things. Accordingly, one might expect that left-sided anterior temporal lobectomy should have a more profound effect on the naming of living as opposed to nonliving things. As part of a multicenter collaborative project, seventy-nine patients (all left-hemisphere speech dominant) were tested pre- and post-left-temporal lobectomy on a task that required naming of living and nonliving items equated for name frequency, familiarity, and visual complexity. Consistent with the proposals of Damasio et al. (1996), left temporal lobectomy impaired naming ability, particularly for living things. When individual outcomes were considered, twice as many patients showed a relative decline in naming living as opposed to nonliving things.

An intracellular ATP-activated, calcium-permeable conductance on the basolateral membrane of single renal proximal tubule cells isolated from Rana temporaria

1. The following study describes the properties of a non-selective cation channel, which has a unit conductance below the resolving power of the single channel technique, located on the basolateral membrane of single proximal tubule cells isolated from frog kidney. The conductance was examined using cell-attached, inside-out and outside-out patches. Due to the small single channel magnitude, macroscopic patch currents were measured. 2. Addition of 2 mM ATP to the intracellular surface of excised patches activated an outwardly rectifying conductance (MCANS): outward (Gout) and inward (Gin) conductances increased by 46.8 +/- 6.7 and 11.6 +/- 2.1 pS, respectively (n = 29). MCANS was more selective for cations than anions, with a cation:anion selectivity ratio of 10.1 +/- 1.7 (n = 7), but did not discriminate between Na+ and K+. It was more selective for Ca2+ over Na+, with a Ca2+:Na+ selectivity ratio of 4. 49 +/- 0.69 (n = 7). 3. In cell-attached patches addition of 100 microM strophanthidin to the bath increased both Gout and Gin. However this increase in conductance was absent in the presence of Gd3+, which inhibits MCANS. 4. These data suggest that single proximal tubule cells isolated from frog kidney contain an ATP-activated, non-selective cation conductance. The conductance does not discriminate between Na+ and K+, but is more selective for Ca2+ over Na+. Considering the prevailing electrochemical gradients for these ions, functional activation of the conductance would be expected to lead to a rise in intracellular Ca2+. MCANS is linked to the activity of the Na+, K+-ATPase and may therefore provide a link between the ATPase and K+ channel activity in the basolateral membrane and form an integral part of the pump-leak mechanism in transporting epithelia.

EEG as a measure of developmental changes in the chicken brain

Scalp-applied recording electrodes were used to monitor changes in basal EEG patterns in chickens during posthatch development. Frequency spectra produced by Fast Fourier Transform show a biphasic morphology in all chickens with one peak at about 6 Hz and another at 26 Hz. Changes in the lower frequency band show progressive development and provide a possible index of brain development. Both amplitude and dominant frequency of the spectra decrease between Weeks 3 and 8 posthatch, reaching adult levels between Weeks 5 and 7. These results suggest that modifications of basal EEG reflect the widespread functional changes in neuronal circuits occurring in chicken during the "synapse maturation" period between 3 and 8 weeks' posthatch.

An evaluation of a health education intervention for mid-aged women: five year follow-up of effects upon knowledge, impact of menopause and health

An evaluation of the long term impact of a health education intervention in primary care, for premenopausal women (45 years of age), is presented. The intervention included information and group discussion about menopause, stress management, health behaviours (smoking, exercise, diet) and treatment choices. Questionnaires were sent to 86 women who had been randomised into two groups (prepared/control) and were now aged 50 (response rate 91%). The prepared group had significantly greater knowledge of menopause and attributed fewer symptoms to the menopause than the controls. There were no group differences in measures of general health or mood, but there was a tendency for the prepared group to report more interest in sexual activity. Subjective evaluation of the intervention was positive in terms of increasing knowledge and helping women to deal with the emotional and practical aspects of the menopause.

Using intraindividual variability to detect malingering in cognitive performance

The utility of measures for detecting malingering was evaluated using a simulation design in which half the participants were encouraged to do their best and half were asked to feign head injury. Particular attention was focused on the utility of repeated assessment (intraindividual variability) in discriminating the groups. Participants were tested on three occasions on measures commonly used to detect malingering including a specific symptom validity test (SVT). The results indicated that multiple measures of malingering obtained in single assessment (occasion one) discriminated the groups effectively. In addition, however, intraindividual variability in performance, particularly of indicators from the SVT, provided unique information beyond level of performance. The results suggest that response inconsistency across testing sessions may be a clinically useful measure for the detection of malingering.

Development of the fertility adjustment scale

OBJECTIVE

To develop a standardized measure of psychological adjustment to infertility.

DESIGN

A cross-sectional two-group comparison study.

SETTING

Two specialized fertility clinics in large teaching hospitals.

PATIENT(S)

Fifty men and 50 women undergoing evaluation and/or treatment of fertility problems.

INTERVENTION(S)

The Fertility Adjustment Scale was administered with the Hospital Anxiety and Depression Scale as a measure of concurrent validity.

MAIN OUTCOME MEASURE(S)

Scores on the Fertility Adjustment Scale and the Hospital Anxiety and Depression Scale.

RESULT(S)

Scores on the Fertility Adjustment Scale were distributed normally. Split-half and internal consistency were high. A significant correlation with measures of mood, anxiety, and distress provided evidence of concurrent validity.

CONCLUSION(S)

Preliminary results suggest that this measure will be a useful tool in assessing psychological reactions to fertility problems and outcomes of treatment.

Effect of extracellular human immunodeficiency virus type 1 glycoprotein 120 on primary human vascular endothelial cell cultures

During the course of an HIV-1 infection, free infectious and noninfectious virus particles, and free HIV-1 proteins, circulate within the host, exposing the host endothelium to these viral factors, even if the endothelium is not infected. This suggests that extracellular HIV-1 proteins could influence endothelial cell function, leading to pathogenesis. In light of this, we have used primary cultured human vascular endothelial cells (HUVECs) to screen for effects of the HIV-1 protein gp120 on endothelial cell function. The results of this study show that short exposure of HUVEC cultures to this protein causes significant levels of cytotoxicity. Further, using several different assays, we have shown that this cytotoxic effect on HUVECs appears to be due to induction of an apoptotic program. The biphasic nature of gp120 titration curves suggests that multiple cellular factors are mediating these gp120-induced effects. Competition studies appear to confirm this by showing that the apoptotic effect is mediated through two cell surface receptors on HUVECs, CCR5 and CXCR4. Alternatively, competition studies examining CD4 receptors suggests that CD4 played no role in gp12O-induced effects on HUVECs.

The Atascadero State Hospital Experience: Engaging Patients in Violence Prevention

When it comes to caring for the forensic psychiatric inpatient, there is no "how to" book. In the forensic hospital environment, the commingling of severe and persistent mental illness with criminality poses vexing clinical challenges and complex moral dilemmas not faced in either general psychiatric or correctional environments. While providing evaluation and treatment in our maximum security forensic environment, we continually strive to create and maintain a therapeutic milieu as we fulfill our social mandate to protect the public from the dangerous "criminally insane." Few studies guide us. We do know that within the forensic population there is a spectrum of psychopathology to manage, some of which responds to traditional psychotherapeutic techniques and some of which does not. For example, patients with psychopathic traits may not respond well to traditional treatment methods (Rice, 1997). As forensic psychiatric staff, we sometimes feel as if we are making it up as we go, adapting and blending psychiatric theory with knowledge from penology and criminal justice science to provide a safe environment conducive to growth for patients, the majority of whom may be considered "violence-prone" persons (Toch, 1969). Change is a characteristic of public-sector settings (Smoyak, 1991). Forensic hospitals must continually strive to monitor, refine, and improve their organizational systems as they respond and adapt to constant change. Despite the inherent challenges posed when collaborating with forensic patients, the VAC has achieved some notable successes. Staff and patients have been encouraged to work together to create and maintain a milieu where violence is neither assumed nor condoned. An active collaboration and partnership with our forensic patients has been one component of the hospital's successful violence reduction program. We trust that ASH's successful effort to collaborate with patients on the issue of violence reduction may be of use to other forensic hospitals faced with similar challenges.

Stimulation of Na+-alanine cotransport activates a voltage-dependent conductance in single proximal tubule cells isolated from frog kidney

1. The swelling induced by Na+-alanine cotransport in proximal tubule cells of the frog kidney is followed by regulatory volume decrease (RVD). This RVD is inhibited by gadolinium (Gd3+), an inhibitor of stretch-activated channels, but is independent of extracellular Ca2+. 2. In this study, the whole cell patch clamp technique was utilized to examine the effect of Na+-alanine cotransport on two previously identified volume- and Gd3+-sensitive conductances. One conductance is voltage dependent and anion selective (GVD) whilst the other is voltage independent and cation selective (GVI). 3. Addition of 5 mM L-alanine to the bathing solution increased the whole cell conductance and gave a positive (depolarizing) shift in the reversal potential (Vrev, equivalent to the membrane potential in current-clamped cells) consistent with activation of Na+-alanine cotransport. Vrev shifted from -36 +/- 4.9 to +12.9 +/- 4.2 mV (n = 15). 4. In the presence of alanine, the total whole cell conductance had several components including the cotransporter conductance and GVD and GVI. These conductances were separated using Gd3+, which inhibits both GVD and GVI, and the time dependency of GVD. Of these two volume-sensitive conductances, L-alanine elicited a specific increase in GVD, whereas GVI was unaffected. 5. The L-alanine-induced activation of GVD was significantly reduced when cells were incubated in a hypertonic bathing solution. 6. In summary, in single proximal tubule cells isolated from frog kidney, on stimulation of Na+-alanine cotransport GVD is activated, while GVI is unaffected. Taken with other evidence, this suggests that GVD is activated by cell swelling, consequent upon alanine entry, and may play a role as an anion efflux pathway during alanine-induced volume regulation.