Search PubMed⌕ Search

Biomedical subjects

J G Stevenson

Publications and source records attributed to J G Stevenson.

At least 91 records · Page 5Linked to original sources

Rheumatic mitral regurgitation. The case for annuloplasty in the pediatric age group.

Eight youngsters (five female, three male, ages 10 to 19 years, mean 15 years) with isolated severe rheumatic mitral regurgitation have been subjected to mitral annuloplasty because of limiting symptoms and prominent ECG and X-ray changes. They have been followed for up to 11 years (mean 3.7 years), and 7 have had excellent results. An early (1961) patient had a small annulus and was not a favorable candidate; he had only transient improvement. Seven are greatly improved, have decreased cardiac size (often dramatic), and have improved ECG's. One has undergone successful pregnancy, and none has been limited in activities. The extent and duration of improvement, lack of mortality, and resumption of normal activities by these youngsters indicate surgical success. The essence of childhood and youth is activity and the future life span hopefully long; hence, annuloplasty would appear to be the procedure of choice for severe rheumatic mitral regurgitation in the pediatric age group, avoiding the usual need for anticoagulation and uncertain long-term results associated with mitral valve replacement.

Adolescent↗

A response duration schedule: effects of training, extinction, and deprivation.

Rats were trained to hold down a lever for at least 40 consecutive seconds. When the lever had been held down for 40 sec, white noise came on. Releasing the bar in the presence of the noise turned off the noise and operated a feeder that delivered a pellet of food. At the end of training, frequency distributions of response durations peaked at 40 to 41 sec. If as in training, holding down the lever produced white noise at the end of 40 sec, and release of the lever terminated the noise and operated the feeder, but no food delivery occurred, duration distributions and several other measures were initially not very different from when food was delivered. However, if during extinction white noise was never produced by lever holding, and feeder operation did not occur upon lever release, most responses were shorter than 1 sec in duration, some were much longer than 41 sec, and duration distributions did not peak at 40 to 41 sec. When reinforcement was reinstated after extinction, performance quickly returned to pre-extinction measures. Further sessions at different levels of deprivation produced only temporary disruptions in performance.

Journal Article↗