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Biomedical subjects

W Caan

Publications and source records attributed to W Caan.

35 records · Page 2Linked to original sources

Cocaine in the UK--1991.

More than 100 years after Freud's original endorsement of the drug, the use of cocaine is a problem for both users and for society, which struggles to organise effective responses to the epidemic of the last decade. During the 1980s the rapid spread of smokeable cocaine (including 'crack') was seen in the Americas (particularly the US). The initial simple predictions of an identical European epidemic were mistaken. The available data on the extent of cocaine use and of cocaine problems in the UK are examined. New forms of cocaine have been developed by black-market entrepreneurs ('freebase' and 'crack'), and new technologies have emerged for their use; with these new technologies have come new effects and new problems. The general psychiatrist now needs a knowledge of directly and indirectly related psychopathology which has an increasing relevance to the diagnosis and management of the younger patient.

Cocaine↗

Responses of striatal neurons in the behaving monkey. 2. Visual processing in the caudal neostriatum.

The activity of single neurons was recorded in the tail of the caudate nucleus and adjoining part of the ventral putamen, which receive projections from the inferior temporal visual cortex, in order to investigate the functions of these regions. Of 195 neurons analyzed in two macaque monkeys, 109 (56%) responded to visual stimuli, with latencies of 90-150 ms for the majority of the neurons. The neurons responded to a limited range of complex visual stimuli, and in some cases responded to simpler stimuli such as bars and edges. Typically (in 75% of cases) the neurons habituated rapidly, within 1-8 exposures, to each visual stimulus, but remained responsive to other visual stimuli with a different pattern. This habituation was orientation specific, in that the neurons responded to the same pattern shown in an orthogonal orientation. The habituation was also relatively short-term, in that at least partial dishabituation to one stimulus could be produced by a single intervening presentation of a different visual stimulus. These neurons were relatively unresponsive in a visual discrimination task, having habituated to the stimuli which had been presented in the task on many previous trials. It is suggested on the basis of these results and other studies that these neurons are involved in pattern-specific habituation to repeated visual stimuli, and in attention an orientation to a changed visual stimulus pattern. Changes in attention and orientation to stimuli as a result of damage to the striatum and its afferent and efferent pathways may arise in part because of damage to neurons with responses of this type.

Animals↗

Visual neurones responsive to faces in the monkey temporal cortex.

Of 497 single neurones recorded in the cortex in the fundus of the superior temporal sulcus (STS) of three alert rhesus monkeys, a population of at least 48 cells which were selectively responsive to faces had the following response properties: (1) The cells' responses to faces (real or projected, human or rhesus monkey) were two to ten times as large as those to gratings, simple geometrical stimuli or complex 3-D objects. (2) Neuronal responses to faces were excitatory, sustained and were time-locked to the stimulus presentation with a latency of between 80 and 160 ms. (3) The cells were unresponsive to auditory or tactile stimuli and to the sight of arousing or aversive stimuli. (4) The magnitude of the responses of 28 cells tested was relatively constant despite transformations, such as rotation, so that the face was inverted or horizontal, and alterations of colour, size or distance. (5) Rotation to profile substantially reduced the responses of 21 cells (31 tested). (6) Masking out or presenting parts of the face (i.e. eyes, mouth or hair) in isolation revealed that different cells responded to different features or subsets of features. (7) For several cells, responses to the normal organisation of cut-out or line-drawn facial features were significantly larger than to jumbled controls. These findings indicate that explanations in terms of arousal, emotional or motor reactions, simple visual feature sensitivity or receptive fields are insufficient to account for the selective responses to faces and face features observed in this population of STS neurones. It appears that these neurones are part of a system specialised to code for faces or features present in faces, and it is suggested that damage to this system is related to prosopagnosia, or difficulty in face recognition, in man and to the tameness and social disturbances which follow temporal lobe damage and are part of the Klüver-Bucy syndrome in the monkey.

Animals↗

One from the heart for people with a learning disability.

Health inequalities are a major concern of the UK government which provides a good opportunity to look at the equity of access to health services for people with learning disabilities. To investigate how the whole system of care can be improved, this article will focus on a common problem that spans both primary and secondary care: heart disease. It uses access to a potentially life-saving procedure, the coronary artery bypass graft, as an indicator of equity. Opportunities can arise for nurses to overcome inequality for their clients, e.g. through nursing involvement in commissioning by primary care groups.

Community Health Nursing↗

Welcome home.

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Humans↗

Working in harmony.

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Cooperative Behavior↗

Wounded healers.

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Absenteeism↗