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Biomedical subjects

A Dickinson

Publications and source records attributed to A Dickinson.

At least 73 records · Page 4Linked to original sources
PubMed1998

Establishment and evaluation of a preschool asthma programme: a pilot study.

In New Zealand asthma has been recognised as a major health issue for preschool children and their families (Public Health Commission, 1995). While nurses have been involved with Asthma Self management programmes which have improved the outcomes for older children and adults (Garret, Kolbe, Richards, Whitlock & Rea, 1995: Mitchell, Ferguson & Norwood, 1986) self management programmes have rarely been used for preschool children. The aims of the study were to establish a Preschool Asthma Programme and evaluate whether it would enable parents and their children to increase their knowledge, confidence and skills in asthma management, while improving asthma control. Fifteen families with children aged between three and a half and five years with moderate and severe asthma participated; five families in each of the three programmes offered. The programmes were evaluated using both formative and outcome evaluation. Results indicated that the programme increased knowledge and changes in asthma management by parents and children and increased the confidence of parents in both their own ability, and that of their child, to manage asthma. Seven parents and seven children on the programme achieved positive change in all the self management criteria considered and six parents and two children made changes in most of them. Participation in the programme was associated with improved lung function, asthma control and preschool attendance. The programme was more successful if the child was over four years old and had suboptimal asthma control. It is concluded that, contrary to what has previously been thought, preschool children can be taught self management skills. There is evidence that a Preschool Asthma Programme is a useful addition to the conventional management and can result in improvements in asthma management.

Adult↗
PubMed1996

Effect of the 5-HT1A agonist, 8-OH-DPAT on instrumental performance in rats.

These experiments assessed whether reported increases in food consumption and food-reinforced instrumental performance in undeprived rats by the 5-HT1A agonist 8-hydroxy-2(di-n-propylamino)tetralin (8-OH-DPAT) are due to an increment in the incentive value of foods. Against this hypothesis, we found that when undeprived rats were trained to lever press for the food pellets and then allowed to consume the pellets under 8-OH-DPAT, this reexposure decreased subsequent instrumental extinction performance regardless of test drug condition relative to reexposure under vehicle. Although both food consumption and reinforced lever press performance were incremented, 8-OH-DPAT was found generally to reduce instrumental extinction performance and lever pressing during a period when the reinforcer was delivered non-contingently. Rats injected with 8-OH-DPAT were, however, more sensitive to delay of reinforcement, and increased their lever press performance at a 3-s delay but decreased performance at 6-s and 12-s delays relative to animals injected with vehicle. These results are consistent with the hypothesis that 8-OH-DPAT modifies arousal processes in a manner similar to mild stress, thereby acting both to elevate rewarded instrumental performance and to increase sensitivity to the effects of non-reward.

8-Hydroxy-2-(di-n-propylamino)tetralin↗
PubMed1996

Urinary concentration of human chorionic gonadotrophin and its fragments as a prognostic marker in bladder cancer.

OBJECTIVE: To examine the prognostic significance of elevated urinary beta human chorionic gonadotrophin (beta-hCG) in patients with bladder cancer. PATIENTS AND METHODS: Total beta-hCG was measured in the urine of 142 patients referred for cystoscopic examination. Patients were followed for a minimum of 17 months and grouped according to stage of disease. Because the water output by individual patients varied, urinary creatinine levels were measured as an indicator of the concentration of the urine sample. Patient outcomes were correlated with urinary total beta-hCG levels both corrected and uncorrected for creatinine concentration. After correcting for urinary creatinine levels, 40 patients were excluded because the sample was too dilute (undetectable beta-hCG and a creatinine level of < 4 mmol/L). A further four patients were excluded as they had concurrent malignancies not in the bladder and one patient was lost to follow up. RESULTS: None of the 52 patients with benign conditions, nine of the 27 with Ta-T1, and nine of the 25 with T2-T4 bladder disease had urinary total beta-hCG levels > 3.74 IU/mmol/L creatinine. There was no significant association between urinary total beta-hCG concentrations and the rates of recurrence or progression for Ta-T1 disease at 17 months of follow-up. For patients with T2-T4 disease there was a significant association with widespread metastasis (P < 0.01) and mortality (P < 0.01) at 17 months of follow-up. These associations persisted when urinary total beta-hCG levels were not corrected for urinary creatinine concentration (metastasis, P < 0.01; mortality, P = 0.07; Kaplan-Meier survival time analysis, uncorrected for creatinine P = 0.027, corrected for creatinine P < 0.001). This association could not be accounted for by differences in age, histopathology or treatment. CONCLUSION: Although sample concentration was a serious confounding factor, after correcting for dilution using the creatinine content, the elevated urinary levels of total beta-hCG indicated those T2-T4 lesions which were likely to metastasize and those patients likely to die early. If this test is to be used clinically, concentrated samples, i.e. early-morning urine, and a more sensitive beta-hCG assay are required. Nevertheless, for T2-T4 bladder tumours, an elevated pre-treatment level of urinary beta-hCG is a marker of poor prognosis and may prove useful in deciding appropriate therapy.

Aged↗
PubMed1996

Within-compound associations mediate the retrospective revaluation of causality judgements.

The role of within-compound associations in the retrospective revaluation of causality judgements was investigated in a two-stage procedure in which the subjects were asked to learn whether or not different food stimuli caused an allergic reaction in hypothetical patients. In the compound-cue stage a number of compound cues, each consisting of a competing stimulus and a target stimulus, were associated with the reaction across a series of trials, whereas in the single-cue stage the subjects had the opportunity to learn which of the competing cues, when presented alone, caused the reaction. Each target stimulus was presented with the same competing cue across all compound trials in the consistent condition, but with a different competing cue on each trial in the varied condition. In a forward procedure, in which the single-cue stage preceded compound cue training, judgements of the causal effectiveness of the target stimuli were reduced or blocked by training them in compound with a competing cue that had been previously paired with the reaction. Moreover, the magnitude of this reduction was comparable in the consistent and varied conditions. This was not true, however, when the single- and compound-cue stages were reversed in the backward procedure. Judgements for target cues compounded with competing cues that were subsequently paired with the reaction were reduced only in the consistent condition. If it is assumed that stronger associations were formed between the competing and target stimuli during the compound-cue stage in the consistent condition than in the varied condition, this pattern suggests that the retrospective revaluation of causality judgements can be mediated by the formation of within-compound associations.

Allergens↗
PubMed1996

Bidirectional instrumental conditioning.

Three experiments examined bidirectional instrumental conditioning by training hungry rats to push a pole in one direction for food pellets and in the other for either a sugar or a starch solution. In the first study we examined whether the animals learned about the action-reinforcer relations using a specific satiety procedure. Prefeeding one type of reinforcer before an extinction test selectively depressed the performance of the action that had been paired with this reinforcer during training. The second experiment investigated the sensitivity of the bidirectional actions to variations in the action-reinforcer contingencies. When the instrumental contingency was degraded by presenting unpaired reinforcers, the animals pushed less in the direction that was paired with the reinforcer type that was the same as the non-contiguous one. A third study revealed that increasing the rate of reinforcement for one action enhanced its rate of performance without significantly affecting the performance of the other action. We conclude that the effects of reinforcer devaluation, the action-outcome contingency, and the rate of reinforcement are not mediated by Pavlovian associations between the manipulandum and the reinforcer.

Animals↗
PubMed1996

Muscle fiber hypertrophy, hyperplasia, and capillary density in college men after resistance training.

Twelve male subjects with recreational resistance training backgrounds completed 12 wk of intensified resistance training (3 sessions/wk; 8 exercises/session; 3 sets/exercise; 10 repetitions maximum/set). All major muscle groups were trained, with four exercises emphasizing the forearm flexors. After training, strength (1-repetition maximum preacher curl) increased by 25% (P < 0.05). Magnetic resonance imaging scans revealed an increase in the biceps brachii muscle cross-sectional area (CSA) (from 11.8 +/- 2.7 to 13.3 +/- 2.6 cm2; n = 8; P < 0.05). Muscle biopsies of the biceps brachii revealed increases (P < 0.05) in fiber areas for type I (from 4,196 +/- 859 to 4,617 +/- 1,116 microns2; n = 11) and II fibers (from 6,378 +/- 1,552 to 7,474 +/- 2,017 microns2; n = 11). Fiber number estimated from the above measurements did not change after training (293.2 +/- 61.5 x 10(3) pretraining; 297.5 +/- 69.5 x 10(3) posttraining; n = 8). However, the magnitude of muscle fiber hypertrophy may influence this response because those subjects with less relative muscle fiber hypertrophy, but similar increases in muscle CSA, showed evidence of an increase in fiber number. Capillaries per fiber increased significantly (P < 0.05) for both type I (from 4.9 +/- 0.6 to 5.5 +/- 0.7; n = 10) and II fibers (from 5.1 +/- 0.8 to 6.2 +/- 0.7; n = 10). No changes occurred in capillaries per fiber area or muscle area. In conclusion, resistance training resulted in hypertrophy of the total muscle CSA and fiber areas with no change in estimated fiber number, whereas capillary changes were proportional to muscle fiber growth.

Adenosine Triphosphatases↗
PubMed1995

Cholecystokinin attenuates incentive learning in rats.

The hypothesis that endogenous cholecystokinin (CCK) reduces the incentive value assigned to food was examined by training undeprived rats to lever press and chain pull, with one action earning food pellets and the other maltodextrin solution. All animals were then food deprived and reexposed to one outcome after an injection of CCK-8 and the other after an injection of vehicle (VEH). When maintained food deprived and given a choice between the lever and chain in an extinction test, the rats performed fewer of the action trained with the outcome that was reexposed under CCK whether tested under CCK or VEH. In a subsequent experiment, this preference was attenuated by coadministration of the 5-hydroxytryptamine1A (5-HT1A) agonist 8-hydroxy-2(di-n-propylamino)tetralin during reexposure, suggesting that CCK interacts with 5-HT to modify incentive value.

8-Hydroxy-2-(di-n-propylamino)tetralin↗
PubMed1995

Instrumental outcome devaluation is attenuated by the anti-emetic ondansetron.

In three experiments we assessed the effect of an anti-emetic, the selective 5-HT antagonist ondansetron, on (1) the conditioning of a taste aversion using lithium chloride (LiCl); (2) the expression of that aversion; and (3) instrumental outcome-devaluation effects. In Experiment 1 it was found that ondansetron reduced the aversion induced by LiCl when administered prior to the LiCl injection and also attenuated the expression of that aversion when administered prior to test sessions. In Experiments 2 and 3, thirsty rats were trained, in a single session, to lever press and chain pull for sucrose and saline solutions concurrently before being injected with LiCl. They were then re-exposed to both solutions, one after injection of vehicle and the other after injection of ondansetron. In a choice extinction test on the levers and chains, animals performed more of the action whose training outcome was re-exposed under ondansetron than the other action, whether the test was conducted after an injection of vehicle or after one of ondansetron.

Animals↗
PubMed1994

Amphetamine-induced disruptions of latent inhibition are reinforcer mediated: implications for animal models of schizophrenic attentional dysfunction.

Latent inhibition (LI) is a phenomenon observed when repeated, non-reinforced presentation of a stimulus results in a retardation of subsequent conditioning to that stimulus. Several recent experiments have suggested that LI is abolished in conditioned suppression paradigms following acute, low doses of amphetamine given during pre-exposure and conditioning. Experiment 1 sought to increase the generality of this finding in an appetitive LI paradigm, using a dose of amphetamine previously shown to disrupt the LI effect in an aversive paradigm (Killcross and Robbins 1993). However, no evidence for any disruption of LI was found. Experiment 2 extended this investigation to additional, higher doses of d-amphetamine, and also examined the role of reinforcer magnitude in the effect. A non-significant trend towards an attenuated LI effect was found, which was reversed by decreases in the concentration of the sucrose reinforcer. Experiments 3 and 4 investigated the influence of systemic amphetamine in aversive paradigms, with specific attention to the increased response to the aversive foot-shock reinforcer found in amphetamine-treated animals. These experiments revealed that the influence of amphetamine on the LI effect in conditioned suppression paradigms could be reversed by reducing the intensity of footshock used in conditioning, thereby paralleling the effect found in the appetitive paradigm. Therefore it is unlikely that a simple attentional account of the abolition of the LI effect in previous experiments can be sustained.

Amphetamine↗
PubMed1994

Effects of the neuroleptic alpha-flupenthixol on latent inhibition in aversively- and appetitively-motivated paradigms: evidence for dopamine-reinforcer interactions.

Three experiments examined the influence of the dopamine (DA) D1/D2 receptor antagonist alpha-flupenthixol on the latent inhibition (LI) effect. LI is a phenomenon which is manifest when non-reinforced pre-exposure to a stimulus retards subsequent conditioning to that stimulus, and has been proposed as an animal model of the selective attentional processes that are disrupted in acute schizophrenia. Experiment 1 extended previous findings that neuroleptics enhance the LI effect in conditioned suppression paradigms in rats to alpha-flupenthixol (0.23 mg/kg). Experiment 2 demonstrated that this enhancement of the LI effect was also seen in a parallel appetitively-motivated conditioning paradigm at the same dose. In both Experiment 1 and Experiment 2, the enhancement of the LI effect by alpha-flupenthixol appeared to be accompanied by a decrease in the impact of the reinforcer (be it appetitive or aversive). Experiment 3 investigated the possible role of the reinforcer in the effect of alpha-flupenthixol on the LI effect in the aversive, conditioned suppression paradigm by increasing the intensity of footshock in rats treated with alpha-flupenthixol. Increasing the intensity of the footshock completely abolished the enhancement of LI found following injection of alpha-flupenthixol, a result which could not be attributed to a floor effect. The results provide no support for interpretations of the influence of DA manipulations on the LI effect that draw parallels with deficits in selective attention observed in acute schizophrenia.

Acoustic Stimulation↗
PubMed1994

Benzodiazepine-induced outcome revaluation and the motivational control of instrumental action in rats.

It has been argued that the control of instrumental action by motivational states is indirect, being mediated by the effects these states have on the incentive value of the instrumental outcome (A. Dickinson & B. W. Balleine, 1994). In this study, the benzodiazepine agonist midazolam was found to control instrumental action in a similar manner. Midazolam (1 mg/kg) increased rewarded instrumental performance in rats trained undeprived but only elevated performance in extinction when rats were reexposed to the instrumental outcome under midazolam before the test. This effect of reexposure under midazolam did not transfer to a test conducted under food deprivation, suggesting that it was not produced by drug-induced hunger. Finally, in animals trained hungry, midazolam was found to block outcome devaluation induced by a reduction in food deprivation, indicating that midazolam and food deprivation affect outcome value via a common substrate.

Animals↗
PubMed1994

Role of cholecystokinin in the motivational control of instrumental action in rats.

In 4 experiments, the role of cholecystokinin (CCK) in the motivational control of instrumental performance in rats was assessed. Following instrumental training with food rewards, injections of CCK (either 2 micrograms/kg or 4 micrograms/kg) had no effect on instrumental performance in extinction, even when the opportunity was given to learn about the incentive value of the food outcome under CCK. These results contrasted markedly with the effects of shifts in food deprivation. Rewarded instrumental performance was, however, reduced by both doses of CCK, suggesting that CCK may mediate deprivation-related shifts in incentive value. Tests of this hypothesis found that the alimentary CCK antagonist devazepide (MK329) attenuated the devaluation of a food outcome produced by exposure to the outcome in a nondeprived state. These data are interpreted as suggesting that CCK may act as a satiety-specific incentive signal.

Animals↗
PubMed1994

Prosthesis training as a context for studying occupational forms and motoric adaptation.

OBJECTIVES: Occupational therapy authors frequently emphasize the importance of the use of objects in the development of motor skill. This study investigated the use of object-produced visual input in learning control of flexion and extension of an above-elbow training prosthesis. METHOD: Fifty-two male college students were randomly assigned to two training procedures: (a) two 1.5-min periods in which they used a flashlight attached to the hook of the prosthesis to connect dots on paper with light, or (b) the same time periods in which they had the opportunity to practice moving an equally weighted prosthesis, but without the light or dots. To assess motoric adaptation after training under one of the two conditions, each subject traced a continuous line through a maze with a pen attached to the hook. Deviations from the line were measured reliably. RESULTS: Data analysis with a Mann-Whitney test revealed that subjects in the group that trained with added materials traced with significantly more skill than subjects in the other group (one-tailed U = 225.5, p = .02). CONCLUSION: As predicted by occupational therapy theory, the object-produced visual input enhanced the learning of a motor skill relevant to rehabilitation. Although there is a need for more study across different occupations and populations, clinicians are urged to consider the possible benefits of the use of objects in the development of motor skills, as opposed to objectless exercise. Prosthetic training provides a useful context for future research addressing theoretical issues in motor learning.

Adolescent↗
PubMed1992

Incentive learning following reinforcer devaluation is not conditional upon the motivational state during re-exposure.

Three experiments analysed the effect of re-exposure to the reinforcer following aversion conditioning on instrumental performance. In the first experiment, groups of hungry and thirsty rats were trained to press a lever for sucrose, which was then followed by a single injection of lithium chloride (LiCl). On the following day, half the animals in each motivational condition received re-exposure to the sucrose solution; the remaining animals were not re-exposed. In a subsequent extinction test animals that had received re-exposure to the sucrose pressed less than animals that were not re-exposed. Moreover, the effect of re-exposure to the sucrose solution was similar following training under hunger and thirst. In the remaining studies, animals were trained to lever-press for sucrose while either hungry or thirsty. They were then injected with LiCl and re-exposed to the sucrose while either hungry or thirsty, i.e. in the same or different motivational state employed during training, or they were not re-exposed. Lever pressing was then tested in extinction in the training motivational state. As in the first experiment, re-exposure to the reinforcer after aversion conditioning enhanced the magnitude of the reinforcer devaluation effect. More importantly, re-exposure to the sucrose produced a comparable effect on instrumental performance, whether re-exposure was given under the same or different motivational state to that employed during training. These results suggest that the instrumental reinforcer devaluation effect depends upon a process of incentive learning, but that this process is not conditional upon the current motivational state of the animal.

Animals↗
PubMed1992

Signalling and incentive processes in instrumental reinforcer devaluation.

We have previously reported that conditioning an aversion to the reinforcer using an isotonic lithium chloride (LiCl) solution following instrumental training reduces performance in a subsequent extinction test only if animals are re-exposed to the reinforcer prior to the test. Rescorla (1992), in contrast, reported an immediate devaluation effect using a hypertonic LiCl solution that did not depend upon re-exposure. In two experiments we examined the effect of using a hypertonic LiCl solution to condition the aversion to the reinforcer on subsequent instrumental performance in extinction, with and without re-exposure. In Experiment 1 thirsty rats were trained to press a lever for a sucrose solution before being injected with 0.6 M LiCl either immediately or after a delay. Half of the immediate and delay groups were then re-exposed to the sucrose in the absence of the lever, with the remainder being exposed to water. Contrary to the previously reported effects of isotonic LiCl, a hypertonic solution induced a reinforcer devaluation effect in all the immediately poisoned animals, which did not depend upon re-exposure to the reinforcer. In Experiment 2 the possibility that this devaluation effect was induced by the discomfort associated with the hypertonicity of the solution was assessed by replicating Experiment 1 but, in addition, using two immediately poisoned groups given the LiCl injection under anaesthesia. In the absence of anaesthesia, the devaluation effect observed without re-exposure to the reinforcer in Experiment 1 was replicated. When the injection was given under anaesthesia, however, a reinforcer devaluation effect was observed only in animals that were re-exposed to the reinforcer prior to the extinction test. These results were interpreted as evidence that a reinforcer devaluation effect induced by pairing the reinforcer with illness depends upon a process of incentive learning, whereas a devaluation effect mediated by learning a signalling relationship between the reinforcer and somatic discomfort does not.

Animals↗