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Biomedical subjects

C J Cunningham

Publications and source records attributed to C J Cunningham.

35 records · Page 2Linked to original sources

Encoding difficulty and memory enhancement for young and older readers.

Memory for text that required active construction (generation) on the part of the reader to comprehend some of the information was examined. (Letters were deleted from the words composing some of the idea units of the text). For both high school students and older adults, idea units that had letters deleted were remembered better than idea units with intact words on a cued-recall test. This pattern held for easier as well as for harder letter deletions. It was concluded that retention of textually presented information can be improved in older adults if the presentation format of the text induces or guides mental operations that support good encoding. Production-deficiency accounts and attentional/resource deficiency accounts of age-related text memory decrements are discussed in light of the present results.

Adolescent↗

Treating bulimia with desipramine. A double-blind, placebo-controlled study.

A controlled study in patients with bulimia demonstrated a significant benefit from desipramine hydrochloride treatment (91% decrease in binge frequency) in contrast to the results from a placebo (19% increase in frequency). When patients originally taking the placebo crossed over to desipramine therapy, their frequency of binges decreased 84%, so that the overall improvement was 87% fewer binges. Global clinical status improved 3.5 scales, Zung depression scores improved 8.0 points, and a bulimia symptom scale improved 14.7 points. Fifteen (68%) of 22 patients attained complete abstinence from binge eating and purging. The presence or absence of previous episodes of anorexia nervosa did not influence the treatment response. One-month follow-up data indicated persistence of the benefit attained.

Adolescent↗

The dexamethasone suppression test in bulimia before and after successful treatment with desipramine.

Recent reports have suggested that normal-weight bulimic patients without clinical evidence of major depressive disorder will have an abnormal response to dexamethasone. Of 23 normal-weight bulimic patients without clinical evidence of major depressive disorder, 11 had abnormal results on their dexamethasone suppression tests (DSTs). This finding closely matches those of other reports. After successful treatment with desipramine, repeat DSTs showed conversion to normal suppression in 6 of the 7 patients tested. Pretreatment DST results failed to predict the response to medication. The striking similarity of these findings to those reported in patients with major depression suggests that bulimia may be a consequence or an equivalent of major affective disorder.

Adolescent↗

A survey of the attitudes and perceptions of food service operators in the Hamilton-Wentworth Region.

Questionnaires were mailed to 500 food service operators in the Hamilton-Wentworth Region: 271 operators responded to the survey. The survey assessed the operators' perception of health inspection services; their knowledge of food handling procedures; their attitude toward evening inspections and their understanding of Hazard Analysis and Critical Control Point inspections. The results indicate that the majority of the operators perceive the Public Health Inspector (PHI) to be helpful and informed. Overall, the operators appear informed on correct food handling procedures. The findings also suggest that the operators did not support night time inspections and knew nothing about Hazard Analysis and Critical Control Point inspections. Lastly, operators reported that they consider PHIs to be health educators and monitors as opposed to law enforcers.

Adult↗