Biomedical subjects
S Curran
Publications and source records attributed to S Curran.
Discontinuation rates of SSRI's and tricyclic antidepressants.
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Seizure length during ECT.
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Generalists neglect psychiatry.
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M-mode ultrasonic assessment of equine fetal heart rate.
Embryonic heart rate was studied during 87 examinations in 56 mares on Days 25 to 174 post ovulation. Real-time B-mode using a stopwatch and M-mode ultrasonography were compared. For analyses of heart rates, data were grouped into weeks or months. For the stopwatch and M-mode techniques, respectively, heart rates averaged 123 and 133 beats per minute during Month 1, peaked during Month 3 at 172 or 196 beats, then gradually decreased over the duration of the study to 126 and 130 beats during Month 6. There was a significant increase in heart rate from Months 1 to 2 and Months 2 to 3 and a significant decrease from Months 3 to 4 and Months 5 to 6 for both techniques. There was a tendency for a difference (P<0.08) between techniques during Month 1 and a significant difference between techniques for each of Months 2 and 3. The lower heart rate values for the stopwatch technique during Months 1, 2 and 3 may have reflected the difficulties associated with maintaining the transducer field on the fetal heart continuously for an adequate period of time (Months 1 and 2) and difficulty counting fast enough to keep up with the fetal heart (Months 2 and 3). When data were grouped weekly, the largest increase in fetal heart rate occurred between Weeks 4 and 5.
The impact of a media campaign on public action to help maltreated children in addictive families.
Developed because of the need to promote public understanding of the link between addictions and child maltreatment, a multimedia campaign helped to increase by 62% the average monthly number of people who called a telephone service for information about how to aid abused and neglected children. The campaign was supported by market research and professional experience that indicated the campaign should focus on easy action a citizen could take, avoid inducing fear or blame, and target third party helpers and younger families-at-risk. Campaign exposure was promoted through the support of corporate partners. A random household survey found that 61% of the general population had seen or heard the campaign slogan. The average monthly calls to the child maltreatment information service regarding alcohol and other drug abuse tripled and the requests regarding at-risk children almost doubled. An auxiliary project provided interprofessional education to increase the probability that people seeking help would get it when referrals were made. The project yielded several lessons for future public awareness campaigns: focus on helping action rather than the problem; use of client-based market research; a strategic plan to assure necessary exposure; reliance on public-private-nonprofit sector partnerships; preparation of the service system; promotion of personal ways of helping.
Effect of paroxetine on seizure length during electroconvulsive therapy.
This study reports the effect of paroxetine, a selective serotonin reuptake inhibitor, on seizure length during electroconvulsive therapy. Seven inpatients taking paroxetine were compared with 7 controls taking tricyclic antidepressants. The mean seizure length of the paroxetine group was approximately twice that of the control group.
Seizure threshold in bilateral and unilateral ECT.
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Attachment site specificity and the tapeworm assemblage in the spiral intestine of the blue shark (Prionace glauca).
The parasite assemblage in the scroll-type spiral intestine of 24 specimens of the blue shark Prionace glauca collected off of Montauk, Long Island, New York was investigated. When opened with a longitudinal incision to the right of the ventral blood vessels, the internal mucosal spiral of the spiral intestine of the blue shark could be unrolled into a flat sheet of double-sided mucosal tissue. Attachment sites and parasite assemblages were studied on both sides of the sheet in 12 sharks and on either the inside or the outside of the sheet in 12 additional sharks. Assemblages within host individuals were composed of up to 4 species of tetraphyllidean cestodes including the onchobothriid Platybothrium auriculatum, and the phyllobothriids, Prosobothrium armigerum. Paraorygmatobothrium prionacis, and Anthobothrium laciniatum. Each individual shark hosted 1-4 tapeworm species (mean = 3.7 +/- 0.65). The 12 sharks in which both sides of the mucosal scroll were examined hosted 156-2,382 (mean = 929.1 +/- 818) individual tapeworms. The assemblage consisted of 4 core species. Sharks were not found to host all of the possible combinations of species in their assemblages; the most common combination (17 out of 24 individuals) was the occurrence of all 4 parasite species. A chi-square test revealed no evidence that the 4 species did not occur independently. Regression revealed a significant relationship between shark total length and spiral intestine area. Analysis of covariance (ANCOVA) revealed a significant difference between the surface areas of the 2 sides of the mucosal sheet when shark total length was taken into account.(ABSTRACT TRUNCATED AT 250 WORDS)
Equine fetal kinetics: entry and retention of fetal hind limbs in a uterine horn.
Transrectal ultrasonic examinations were made in 31 pregnant pony mares once a week during Months 6 to 11. Each uterine horn was divided into 3 approximately equal segments (caudal, middle, cranial). The percentage of examinations with cranial fetal presentation increased (P<0.05) progressively from 58% at Month 6 to 99% at Month 9 and was followed in all mares by entry of the fetal hind limbs into one uterine horn. The mean number of uterinehorn segments with limb parts increased (P<0.05) between each set of consecutive months from Month 6 to Month 10. Initially (Months 7 and 8), retraction of limbs after entry into the caudal and middle segments of the horn was common (31% incidence). The mean day of final entry of the limbs without detection of subsequent retraction was Day 230 +/- 2.2. Both uterine horns were closed during the examination preceding final entry of the hind limbs into one horn in 25 of 29 (86%) mares. The limbs reached the cranial segment in most examinations by Months 9 and 10 (73% and 98%). The cross-sectional height, as seen on the ultrasound screen, of both uterine horns increased (P<0.05) progressively during Months 7 to 10. Between Months 10 and 11, the height of the horn containing the limbs decreased (P<0.05); this result was attributable to a flattening of the horn and thinning (P<0.05) of the horn wall above a hoof and metatarsal bone. Apparent placental fluid (nonechogenic areas >5 mm in height) between the hind limbs and the cornual wall was detected in 0, 10, 25, and 63% (P<0.01) of examinations for Months 8 to 11, respectively. Results indicated that entry of the fetal hind limbs into a uterine horn was initially tentative and became final during a mean of Month 8. The apposition between the cornual wall and limbs was close during Months 7 to 11. By Month 11, the fetal-limb horn became flatter and thin-walled and usually contained placental fluid.
Tricyclic-induced seizures and absent ECT response.
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Ultrasonic determination of fetal gender in horses and cattle under farm conditions.
Accuracy of transrectal ultrasonic diagnosis of fetal gender by identifying and locating the genital tubercle was assessed in 85 horses and 102 dairy heifers and cows. Examinations were made once (horses and cattle) under farm conditions (cattle) on approximately Days 50 to 100. Definite diagnosis was made by removal of fetuses (horses) or after calving or abortion (cattle). In both species and both parities, accuracy was 100% (109 109 totaled over both species) when the certainty level recorded at the time of examination was 95 or 99%. At the lower levels of certainty (65 to 80%, 85 to 90%), the accuracy was 89% (57 64 totaled over both species). A diagnosis was not obtainable in 10 horses (12%) and 5 cattle (5%); this was especially due to inadequate viewing of the fetus when the fetus was beyond Day 64. The time from completion of evacuation of the rectum to diagnosis of gender averaged 1 minute 17 seconds in horses (range, 15 seconds to 3 minutes 55 seconds). The corresponding figure in cattle was 1 minute 53 seconds (range, 16 seconds to 8 minutes 30 seconds).
Pharmacodynamic effects of buspirone and clobazam.
1. The pharmacodynamic effects of buspirone and clobazam were compared in two volunteer studies. Acute doses of buspirone 5 mg, 10 mg and clobazam 10 mg were contrasted with placebo and a verum (lorazepam 1 mg), in a repeated measures design with 10 subjects assessed on a battery of psychometric tests at 1.5, 3.5, and 5.5 h post dose. For the combined results clobazam and the lower dose of buspirone (5 mg) were significantly contrasted with lorazepam on measures of subjective sedation, memory and choice reaction time (CRT). The higher dose of buspirone was not statistically different from lorazepam for all measures except memory; whilst contrasting significantly with placebo and clobazam on movement and total reaction time components respectively. Though failing to achieve significance, a similar trend was seen for critical flicker fusion (CFF) with buspirone 10 mg and lorazepam producing the lowest scores indicative of increased sedation. 2. Repeated doses of buspirone 5 mg twice daily, clobazam 10 mg twice daily, or placebo twice daily for 8 consecutive days were compared on the same battery of psychometric tests in a repeated measures design. Nine subjects were assessed on days 1, 3, and 8 of the study. Overall, memory performance significantly decreased with buspirone 5 mg in contrast to both clobazam and placebo whilst the opposite trend was seen with CFF. Clobazam significantly improved TRT in contrast to both placebo and buspirone. 3. These results indicate improved reaction time and memory performance with repeated dosing of clobazam in contrast to buspirone. Impairment following acute administration of buspirone appears limited to the higher (10 mg) dose.
Effects of topical administration of levocabastine on psychomotor and cognitive function.
The possible central nervous system effects of topical administration of levocabastine, a new H1-antagonist, were investigated in a double-blind, placebo-controlled, crossover study using a battery of objective and subjective tests. These were carried out in 12 volunteers up to five hours postapplication. Neither the recommended (0.5 mg/mL) nor the four times higher (2.0 mg/mL) concentration level was found to be distinguishable from placebo, while the verum (triprolidine 10 mg) was significantly worse, on both objective and subjective measures.
Accuracy of ultrasonography for pregnancy diagnosis on days 10 to 22 in heifers.
Two operators independently conducted ultrasonic pregnancy examinations on nulliparous Holstein heifers on Days 10, 12, 14, 16, 18, 20 and 22, and assigned a diagnosis (pregnant or nonpregnant) and a score for degree of certainty in the diagnosis (1, 2 or 3 for low, intermediate or high, respectively). Pregnancy was retrospectively confirmed by the ultrasonographic detection of an embryo proper and embryonic heartbeat on Day 24 in 20 25 bred heifers; the five nonpregnant heifers were excluded from the analyses. Eleven nonbred heifers were included as an unequivocal source of nonpregnant heifers. Accuracy was not significantly greater than a guess (50%) before Day 18, but reached 100% on Days 20 and 22. Mean accuracy was higher (P<0.005) for nonpregnant (65 77 , 84%) than pregnant heifers (91.5 140 , 65%). For certainty score, there were main effects of day (P<0.0001), reproductive status (pregnant or nonpregnant, P<0.003), and an interaction of day and reproductive status (P<0.0001). The certainty score increased in all heifers among days and was higher (P<0.05) in pregnant than nonpregnant heifers on Days 16 to 20. For luteal area (area of corpus luteum, excluding area of fluid filled center, if present), there were significant main effects of day, reproductive status and a day by status interaction (P<0.0001 for each). Luteal area was approximately constant in pregnant heifers, but in nonpregnant heifers it was lower (P<0.05) on Days 16 to 22 than on Days 10 to 14. Uterine echotexture was scored on a scale of 1 to 3, characteristic of a diestrus, intermediate and estrus uterus, respectively. There were main effects of day and reproductive status (P<0.0001 for each) and an interaction of day and reproductive status (P<0.025). Uterine echotexture was approximately constant in pregnant heifers, but in nonpregnant heifers it was higher (P<0.05) on Days 16 to 22 than on Days 10 to 14. Pregnancy diagnosis on Days 10 to 14 was based on detection of the conceptus; however, detection of the conceptus was not accurate prior to visualization of the embryo proper (mean Day 22, range Days 20 to 24). In nonpregnant heifers, a correct diagnosis with high certainty was made when a small corpus luteum and uterine echotexture characteristic of estrus were detected. In the absence of these changes on Days 18 to 22, a diagnosis of pregnancy was made with high accuracy and intermediate or high certainty.
Plasma haloperidol and clinical response: a role for reduced haloperidol in antipsychotic activity?
Seventeen hospitalized psychotic patients were treated with a fixed oral dose of haloperidol, 5 mg twice daily for 28 days. Most were chronic schizophrenics with an acute exacerbation of their illness. All patients also received benztropine 3 mg twice daily during the last 11 days of the study, regardless of the presence or absence of extrapyramidal side effects. No significant linear or curvilinear relationship was found between steady state plasma levels of haloperidol and clinical response measured by total Brief Psychiatric Rating Scale score. At 28 days, the correlations between plasma levels and percent improvement were rs = 0.187 (not significant) for haloperidol and rs = 0.582 (p = 0.04) for the hydroxymetabolite, reduced haloperidol. The correlation for the sum was rs = 0.511 (p = 0.078). Metabolite levels were substantially higher than plasma haloperidol, on the average 2.7 times greater. Eleven days of benztropine treatment had no significant effect on haloperidol or metabolite plasma levels or on clinical status. At the end of the study, nine of 17 patients (53%) had recovered as judged by discharge readiness. Within the limitations implied by the small number of patients, these data suggest that reduced haloperidol is an important component of plasma antipsychotic activity and cannot be neglected in correlative studies, and that a substantial proportion of patients--about half--can be successfully treated with only 10 mg of haloperidol. The routine use of large doses is thus not necessary for many patients.
Ultrasonographic appearance of the bovine conceptus from days 10 through 20.
The bovine conceptus was monitored in 19 heifers by intrarectal ultrasonic imaging from the day an embryonic vesicle was first detected (mean, day 11.7 +/- 0.4; range, days 10 to 17) until detection of the embryo proper (mean, day 20.3 +/- 0.3). Fifteen heifers maintained the conceptus and 4 heifers apparently lost the conceptus. In the heifers that maintained the conceptus, 73% of the embryonic vesicles were classified as spherical (mean diameter, 2.8 +/- 0.2 mm) and 27% were classified as oblong (mean dimensions, 2.0 +/- 0.0 mm and 4.5 +/- 1.0 mm) on the day of first detection. All vesicles were in the uterine horn ipsilateral to the corpus luteum. The vesicles increased in length from the day of first detection. On the average, the vesicle occupied all of the ipsilateral uterine horn on day 16.9 +/- 0.6 and all of the contralateral horn on day 19.6 +/- 0.9. During elongation, the vesicle remained at an approximate height of 2 mm throughout its length, but developed a localized enlargement or bulge on mean day 19.7 +/- 0.2. The embryo proper was detected within the bulge in all 15 heifers. A heartbeat (mean, 188 +/- 4.8 beats/min) was detected on the first day of detection of the embryo proper (8 heifers) or on the following day (7 heifers). The mean length of the interovulatory interval in the 4 heifers that apparently lost the embryonic vesicle was not significantly different from that of nonbred heifers. The vesicles were lost (not ultrasonographically detectable) on days 17 (2 heifers) and 19 (2 heifers).(ABSTRACT TRUNCATED AT 250 WORDS)
Ultrasonographic appearance of the bovine conceptus from days 20 through 60.
The ultrasonographic appearance of the conceptus on days 20 to 60 was determined by daily examinations in 15 heifers. The mean length of the embryo proper increased from the day of first detection (day 20.3 +/- 0.3; 3.8 +/- 0.3 mm) to day 60 (66.1 +/- 1.7 mm). The growth curve was quadratic, with an increasing growth rate after approximately day 50. The embryo initially had the appearance of a short, straight line and developed a C shape on day 25.4 +/- 0.8 and an L shape on day 32.7 +/- 1.1. The average day of first detection of various structures was as follows: allantois, 23.2 +/- 0.3; spinal cord, 29.1 +/- 0.5; forelimbs, 29.1 +/- 0.3; amnion, 29.5 +/- 0.5; optic area, 30.2 +/- 0.4; hindlimbs, 31.2 +/- 0.3; placentomes, 35.2 +/- 1.0; optic lens, 40.0 +/- 0.6; split hooves, 44.6 +/- 0.7; fetal movements, 44.8 +/- 0.8; and ribs, 52.8 +/- 0.5. Embryonic death, as indicated by cessation of heartbeats, occurred in one heifer on day 26. The embryonic mass increased in echogenicity and was maintained with a gradually decreasing fluid volume until the occurrence of estrus 17 days after death.