Cerebral palsy: changing patterns of birthweight and gestational age (1976/81).
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to C Barry.
Explore the source record for details and available documents.
Anticardiolipin antibody (ACA) was present in the sera of 49% of 90 consecutive patients with rheumatoid arthritis (RA). The ACA was absent in 30 control patients with osteoarthritis. C-reactive protein levels equal to or exceeding 7 mg/dl were found in 10 patients all of whom were ACA positive. ACA was present in a larger proportion of rheumatoid factor (RF) positive than of RF negative patients. Male sex and extra-articular manifestations of RA were both more common in ACA positive than ACA negative patients. In the ACA positive group the lupus anticoagulant and VDRL tests were negative. However, a small number of patients had evidence of vascular events.
Twenty patients with intractable rheumatoid arthritis were treated with 750-rad or 2,000-rad lymphoid irradiation in a randomized double-blind comparative study. Over a 12-month followup period, there was a significant improvement in 4 of 7 and 6 of 7 standard parameters of disease activity following treatment with 750 rads and 2,000 rads, respectively. Transient, short-term toxicity was less frequent with the lower dose. In both groups, there was a sustained peripheral blood lymphopenia, a selective depletion of T helper (Leu-3a+) lymphocytes, and reduced in vitro mitogen responses. These changes did not occur, however, in synovial fluid. These results suggest that 750-rad lymphoid irradiation is as effective as, but less toxic than, that with 2,000 rads in the management of patients with intractable rheumatoid arthritis.
The prevalence of psychiatric disorder in 23 boys with Duchenne muscular dystrophy was assessed and compared to a matched control group. Dysthymic disorder and major depressive disorder occurred significantly more often among DMD boys than controls. Older boys with DMD were at greater risk of depressive disorder than younger boys. Possible aetiological factors and approaches to management are discussed.
An interview with parents of 23 boys with Duchenne muscular dystrophy (DMD) suggested that communication within families about the disorder presented difficulties for both parents and the boys. Spouses rarely discussed the condition and for many this was not a problem area but a way of coping by dealing only with the present. More problematic was the inability for parents and affected boys to communicate about the disorder. Lack of communication occasionally was responsible for carriers not being informed about the genetic nature of the disorder. Possible reasons for these patterns of communication are discussed and some approaches to helping families of boys with DMD are suggested.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
We discuss some of the interesting features of the investigation of a phonological dyslexic patient's ability to read aloud nonwords embedded in words reported by Bradley and Thomson (1984, Brain and Language, 22, 292-302). We highlight some problems of their interpretation, tentatively suggest an alternative explanation in terms of lexical analogy, and conclude by suggesting some prescriptive conditions for the legitimacy of extending models of normal functioning to account for cognitive neuropsychological data.
Right-handed subjects were asked to decide whether or not faces presented briefly in the RVF or in the LVF were familiar (familiar faces were those of famous people). This task avoids the need for extensive semantic processing or temporary storage involved in conventional naming or identification tasks, and thus eliminates the contribution of such factors to any observed asymmetry. The resulting finding of faster reaction times to LVF faces, with no overall visual hemifield difference in error rates, is taken to indicate a right-hemisphere superiority either in the processes used to construct facial representations or in the accessing of face recognition units, or both.
The vasoconstrictor and vasopressor actions of vasopressin have been revealed in recent research through the use of highly specific and sensitive radioimmunoassays, employment of peptide antagonists, and comparison with an animal model which has hereditary absence of this hormone, the Brattleboro rat. Factors now known to modify the pressor effect of vasopressin are the baroreflexes, local vascular prostaglandin production, and a specific interaction with angiotensin II. In experimental models the volume retaining, but not the vasoconstrictor effect of vasopressin is necessary for mineralocorticoid-salt hypertension. Vasopressin contributes directly to the increase in arterial pressure of glycerol induced acute renal failure. In nephrectomized rats, plasma vasopressin is elevated and contributes directly to maintenance of pressure. Vasopressin antagonism may reduce arterial pressure in Goldblatt 1 and 2 kidney hypertension and in one genetic model, spontaneously hypertensive rat (SHR), but the peptide is not necessary for hypertension in these models. Plasma vasopressin is reduced in primary aldosteronism, but may be elevated in malignant hypertension. In essential hypertension, there is considerable disagreement among various studies in which plasma vasopressin, urine vasopressin excretion, platelet associated vasopressin, or vasopressin-neurophysin were measured as to whether there is evidence for increased secretion of vasopressin. Only preliminary studies of vasopressin antagonism in clinical hypertension have been reported. At present, there is no conclusive evidence that elevated vasopressin secretion occurs or is necessary for any form of clinical hypertension.
The clinical significance of previously described immunoglobulin and complement deposition in the superficial dermal vessel walls of patients with rheumatoid arthritis is unknown. In the present study, skin biopsies were obtained from the normal forearm and buttock of 48 unselected patients with rheumatoid arthritis and were examined by direct immunofluorescence (IF) for the presence of immunoglobulin (IgG,A,M) and complement (C3) in the vessel walls. Deposits of C3, IgM or IgG were detected in 10 patients. Five patients had deposits at the forearm sample alone, four patients had deposits at both biopsy sites, while one patient was positive at the buttock alone. Clinical features were similar in patients with and without vessel IF. However, patients with IF were significantly more seropositive with lower levels of complement and raised levels of serum IgA and IgM. There was also an increased level of circulating IgG immune complexes in these patients. Further analysis following exclusion of seronegative patients revealed similar results. This study suggests that the presence of vessel IF identifies a subgroup of patients who have evidence of more severe immunological disturbance.
Three laterality experiments using tasks of different cognitive requirement were performed in order to determine the stage at which hemispheric differences in face perception arise. All experiments employed the same set of faces and a vocal reaction time paradigm. In experiment 1, subjects were required to discriminate male from female faces and no hemispheric asymmetries were found. In experiment 2, subjects were required to decide whether or not faces were of famous or unknown people and a right hemisphere advantage was found. Finally, in experiment 3 subjects were required to verbally identify the famous faces and no hemispheric differences were found. The results suggest that a right hemisphere superiority exists for the comparison of stimulus faces with an internal representation. Contrary to expectation, face naming does not result in a selective left hemisphere involvement.
"What Happened to Pity?," a BBC documentary on the grief responses to the Aberfan disaster in 1966, powerfully affects viewers and is an effective tool for the study of sadness. Observations in the classroom and in the laboratory demonstrate that the great majority of viewers experienced some degree of sadness along with anger and sympathy. Subjects classified as high loss/grief experienced more intense and extended sadness than did those who had not had significant losses. They also displayed more apprehension, anger, shame-guilt, giving-up, anxiety, and irritation. Subjects experiencing the most sadness, compared with those less affected, were more initiating and talkative and their relationships in the laboratory were closer, more gratifying, task-oriented, therapeutic, and trusting. With the film they displayed more sympathy, role-identification, personalization, and like, but felt more drained. With respect to stable personality features they were warm, sharing, introspective, dependent, and more personally (than monetarily) motivated to volunteer for the study.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.