Biomedical subjects
Publications and source records attributed to J L Reed.
The psychiatric status of 70 homeless women from two direct-access hostels in inner-London was assessed. Detailed sociodemographic, psychiatric and physical illness data were also collected, and where possible, verified from psychiatric and general hospital sources. Forty-five women met DSM-III-R criteria for schizophrenia, but few were in contact with the psychiatric services or in receipt of any treatment.
The processing of spatial and temporal detail was investigated in patients with multiple sclerosis. Normal observers and 13 patients with optic neuritis secondary to multiple sclerosis performed a battery of visual tests that included contrast sensitivity, temporal integration, evoked potentials, and visual masking. The multiple sclerosis patients exhibited losses of pattern processing, and these deficits became more noticeable when the patterns were presented briefly. Moreover, these patients exhibited diverse response patterns for the different visual tests. For some, temporal integration functions appeared severely attenuated, while evoked potential latency was within normal limits. Others displayed poor performance in the visual masking test, yet contrast sensitivity functions were comparable to those of the control group. We suggest that a battery of tests that incorporates spatial as well as temporal stimuli is necessary for the detection of visual dysfunction in multiple sclerosis.
This investigation examined the onset response of the transient visually evoked potential elicited by the appearance-disappearance of sine-wave gratings at various levels of spatial frequency, suprathreshold contrast, and stimulus duration. The response was most easily characterized by two negative-positive complexes that were differentially tuned to spatial frequency. The earlier complex peaked at high spatial frequencies while the later complex peaked at low spatial frequencies. For both complexes, amplitude showed only slight variations across three-octave ranges of contrast and duration. Latency was curvilinearly related to spatial frequency, decreased with increasing contrast, and showed no apparent change as a function of duration.
The gastric emptying rate of 8 heroin-dependent males was measured by means of a radioactive isotope method. A simultaneous oral glucose tolerance test was carried out. The glucose response showed a low, flat curve with a delayed peak, and increased secretion of insulin and growth hormone occurred. As the gastric emptying rate proved to be normal the observed metabolic abnormalities are not due to the effect of heroin on the gastro-intestinal tract, but must be attributed to some other effect of chronic heroin administration.
Both flash- and pattern-elicited electroretinograms and visual-evoked potentials were recorded from a patient with well-documented unilateral optic nerve dysfunction. Although the flash-elicited electroretinograms from the left and right eyes did not differ in amplitude or latency, the flash-elicited visual-evoked potentials were greatly attenuated. Prominent pattern-elicited electroretinograms and visual-evoked potentials, were recorded from the better eye, but neither could be obtained from the affected eye. These results supported the contention that pattern-elicited electroretinograms are derived from optic nerve activity and that the absence of such responses may be diagnostic of loss of optic nerve function. This suggests that testing protocols aimed at assessing optic nerve function might benefit from the inclusion of pattern-elicited electroretinographic recordings. We also obtained contrast sensitivity functions from both eyes. Although considerably suppressed, the contrast sensitivity of the affected eye exhibited a 3-octave range, indicating some pattern-processing capability.
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This paper presents a review of the literature on the effects of maternal narcotic addictions upon the foetus and newborn infant. Six children born to 'registered' narcotic addicts were studied, and particular attention was paid to any signs of narcotic withdrawal that might occur after birth. Although all the mothers took heroin or methadone regularly up to the time of delivery, minor physical signs which might have been considered part of the withdrawal syndrome occurred in only one baby. The absence of major withdrawal signs found in this study contrasts with previous findings. The reasons for these differences are discussed, and the implications of these observations for the management of the pregnant narcotic addict and her newborn infant are considered.
The circadian rhythm of corticosteroid secretion was investigated in six heroin dependent subjects by measuring plasma corticosteroids at 09.00 hours and 24.00 hours. All results were within the normal range and it seems unlikely that chronic heroin dependence affects the hypothalamic control of corticosteroid secretion.
A study of 120 inpatients diagnosed as suffering from hysteria is presented and the validity of the diagnosis questioned. Clinical study showed that 13% showed only hysterical symptoms, 33% showed hysterical symptoms occuring with affective symptoms, 28% showed affective symptomatology only, and the remainder were either of other or uncertain diagnostic grouping. It is concluded that the 13% are suffering from a condition that can only be diagnosed as hysteria.
Tests on 12 heroin addicts showed that their response to a glucose load differed from that in normal controls. Though the fasting blood sugar was normal, the rise in blood glucose after a standard 50-g oral glucose tolerance test was delayed and the rise smaller than in the controls. The heroin addicts had high resting insulin levels and a delayed peak response to an oral glucose load, and their growth hormone response was also abnormal.
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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.
Explore the source record for details and available documents.