Search PubMed⌕ Search

Biomedical subjects

A S Schwartz

Publications and source records attributed to A S Schwartz.

At least 19 recordsLinked to original sources
PubMed1986

Physostigmine effects in Alzheimer's disease: relationship to dementia severity.

Eleven demented patients were administered .004, .009, and .013 mg/kg physostigmine intramuscularly, and placebo, double-blind, in Phase 1. The most effective dose, in terms of showing the best memory score as compared to saline, was repeated during Phase 2. Five patients improved their verbal memory scores in both Phases 1 and 2 after the most effective dose of physostigmine; these five "responders" were found to be significantly more demented than the six "nonresponders." Drug-induced increases in memory scores were significantly correlated with illness severity. Intrusions, which were not a factor in selection of the most effective dose, were reduced in the group as a whole, with the responders showing the most improvement and the nonresponders the least. The association between physostigmine effect and degree of dementia suggests to us that the severe cases may have more permeable blood-brain barriers, and that drug availability to the brain is an important factor in evaluating treatment of SDAT with cholinergic substances.

Aged↗
PubMed1984

Value of noninvasive assessment of patients with atypical chest pain and suspected coronary spasm using ergonovine infusion and thallium-201 scintigraphy.

Twenty-six patients with known benign coronary anatomic characteristics and atypical chest pain syndromes were evaluated for the possibility of coronary spasm. Incremental intravenous ergonovine maleate infusions were administered, and thallium-201 scintigraphy was performed at the peak dosage and during recovery in the coronary care unit. With ergonovine therapy, 4 patients (16%) had chest pain associated with electrocardiographic (ECG) or scintigraphic changes. Nine patients (35%) had chest pain without associated ECG or scintigraphic changes, and 13 patients did not have chest pain in response to ergonovine administration, although 2 (8%) had ergonovine-induced scintigraphic defects. All 4 patients with ergonovine-induced chest pain and associated ECG or scintigraphic abnormalities had resolution or reduction of chest pain after medical treatment. However, 7 of the 9 patients with ergonovine-induced chest pain in the absence of ECG or scintigraphic abnormalities continued to have symptoms despite medical treatment a mean of 18 months later. In this limited study of a select group, bedside ergonovine provocation appeared safe. Many patients had chest pain, but few showed ECG or scintigraphic evidence of ischemia. Perfusion scintigraphy appears to have potential complementary value for the identification of an ischemic cardiac cause of atypical chest pain and provides a rationale for appropriate therapy.

Adolescent↗
PubMed1983

Functional relationship between somatosensory cortex and specialized afferent pathways in the monkey.

Previous work showed that the primate dorsal funiculus (DF) was necessary for tactile discrimination which entailed movement. The extra-DF spinal afferent fibers, by contrast, were sufficient for discrimination of tactile stimuli which did not require movement. This study investigated the association between various cortical regions and the specialized tactile roles of the separate afferent systems. Monkeys learned two sets of tasks, one of which was dependent on DF integrity, and the other was capable of mediation by the extra-DF pathways. The cortical distribution and processing of DF and extra-DF information has been defined here by whether or not these tasks were affected by lesions in the respective regions. Lesions in area 3b led to impairment of both tasks, but more severe and longer-lasting impairment of the DF tests. Lesions in areas 1, 5, or 7 were without effect on either type of function. Ablation of the forelimb region in area 2 selectively damaged only the DF discriminations. These results, in combination with the results of others which are considered here, suggest that (i) both the DF and the extra-DF tactile information converge into area 3b; (ii) the extra-DF information is then projected diffusely to widespread regions of the cortex which enables it to survive limited parietal ablations; and (iii) the DF information is transmitted compactly to a focal region in area 2.

Afferent Pathways↗
PubMed1979

The asymmetric lateralization of tactile extinction in patients with unilateral cerebral dysfunction.

Two hundred and thirty-four patients with unilateral cerebral pathology and 175 control subjects were examined with a sensitive test for tactile extinction. Damage to the right hemisphere was associated with extinction slightly (but not significantly) more often than damage to the left hemisphere; the asymmetry may be due to selective exclusion of aphasics with damage to the left hemisphere. Extinction of the left side of the body, however, was significantly more common than of the right side; this asymmetry could not be accounted for by exclusion of untestable aphasics, but was a consequence of frequent ipsilateral (left side) extinction among the group with damage to the left hemisphere while the group with damage to the right hemisphere extinguished the contralateral (left) side almost exclusively. Although the hemispheres as a whole did not differ in their association with extinction, lesions in the right parietal lobe were significantly more effective in producing extinction than lesions in the left; in both cases the contralateral side of the body was affected. By contrast, lesions in the left frontal lobe were moderately but not significantly more effective in producing extinction than right frontal damage; in almost all these cases the left side of the body was affected, regardless of which frontal lobe was damaged. A relationship between extinction and pathology in the vicinity of the anterior callosum, as determined from CT scan and angiography, was found among the frontal cases. We propose an anatomical model to explain tactile extinction and its asymetric characteristics in the human. During the extinction tests a response mechanism in the left (speech) hemisphere bases its perceptual output on the relative strengths of two simultaneous sensory inputs. Damage at any point in the channel from the periphery to the response mechanism weakens one signal in comparison to the other, resulting in a response bias favouring the stronger stimulus. Tactile information from the left hand, after reaching the somatosensory zone in the right hemisphere, is transmitted to the left hemisphere by a diffuse, widespread network including the frontal lobes and the anterior callosum. This anatomical arrangement renders left-hand information more vulnerable to chance lesions than right-hand information, which has direct access to the response mechanism via a more compact projection system.

Adolescent↗
PubMed1976

Persistence of relapse of morphine-seeking behavior in rats: the relative role of certain biological variables.

The theory that narcotic-induced protracted biological changes are responsible for relapse of opiate-reinforced behavior was examined in the rat. Groups of rats were conditioned to prefer a distinctive environment by pairing it with morphine doses from 1-200 mg/kg, and were retested for persistence of this preference after a 3-week abstinence period. They were then observed for protracted signs such as sensitivity to naloxone, tolerance to morphine analgesia, hyperaggression, or changes in endocrine activity. Acquisition and relapse of the preference, as well as long-term tolerance, were dose related. None of the purported protracted signs showed any consistent relationship to the tendency to relapse. However, relapse correlated significantly with original acquisition scores in all relapsing groups. The results suggest that original conditioning factors, rather than protracted changes, are responsible for the observed relapse.

Aggression↗
PubMed1975

The influence of early lead exposure on morphine reinforcement in the rat.

The effect of early lead burdens on morphine-seeking behavior was investigated in the albino rat. Several concentrations of lead acetate were administered to nursing mother starting at 0,7 or 14 days after birth, or provided directly to the pups in the drinking water after weaning, so that lead exposure was continous for 3 successive weeks in each group. The offspring were later tested for acquisition and maintenance of a goal-box preference based on morphine reinforcement. High lead burdens imposed before the second week of age resulted in a mild but significantly greater incidence of morphine-seeking responses, as well as retarded growth, compared with placebo-treated controls or animals treated at a later age. The data support the proposition that lead, introduced at a critical stage of development via the lactating mother, increases the potency of morphine reinforcement as a result of changes in cerebral dopaminergic activity. This effect may be mediated directly by the high lead burdens in the offspring, or indirectly by interfering with the mother's nursing capacity.

Age Factors↗