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Retention of cardiopulmonary resuscitation skills after initial overtraining.

The authors have examined cardiopulmonary resuscitation (CPR) skills retention in a police force initially trained to instructor level performance skills as defined by the 1977 American Heart Association Instructor Manual. In 1977, the entire Winnipeg Police Force received a basic 8-h course of CPR training with recording manikins. Each training session was followed by a written test and a performance test on the recording manikin using instructor level tape criteria as the standard. Between 12 and 18 months later, 116 personnel were randomly selected for retesting. The first min of one-man CPR on the two tapes was compared. Retention was expressed as a percentage, i.e., retest score/training score x 100. Retention scores were as follows: knowledge, 76%; assessment skills, 83%; call for help, 85%; numbers of adequate ventilations, 100%; numbers of adequate compressions, 97%. Total assessment time and incidence of potentially injurious performance were the same. Deliverate overtraining of highly motivated and mature nonmedical basic rescuers results in satisfactory skills retention for at least 1 year.

Allied Health Personnel↗

Effect of stimulus intensity and number of treatments on ECS-related seizure duration and retrograde amnesia in rats.

BACKGROUND: Animal models are frequently used to generate and test hypotheses about amnesia resulting from electroconvulsive therapy (ECT). Although many predictors of ECT-induced amnesia are known, their relative effects have been inadequately researched in the context of the animal models. OBJECTIVE: We sought to determine the relative retrograde amnestic effects of electroconvulsive shock (ECS) stimulus intensity (dose) and number on strong memories in rats. We also sought to identify dose-dependent ceiling amnestic effects, if any. METHODS: Adult rats (n = 144) were overtrained in a passive avoidance task using a step down apparatus. The rats were then randomized in a factorial design to receive one, two, or three once-daily bilateral ECS at 0-mC (sham ECS), 30-mC, 60-mC, 120-mC, or 180-mC doses. Recall of the pre-ECS training was assessed 1 day after the last ECS. RESULTS: Retrograde amnesia was observed only in rats that received 3 ECS; dose-dependent amnestic effects did not emerge. Higher stimulus intensity was associated with a small (13%) but significant increase in motor seizure duration, but only at the first ECS; stimulus intensity did not influence the attenuation of seizure duration across repeated occasions of ECS. CONCLUSION: With bilateral ECS, the number of ECSs administered is a more important variable than the ECS dose in weakening a strong, recently acquired, noxious memory; this finding may have important clinical implications. Higher stimulus intensity marginally increases motor seizure duration at the first ECS but does not influence the decrease in seizure duration across repeated ECSs.

Amnesia, Retrograde↗

The focus of pessimism in performance assessments by the depressed.

The study concerns the microstructure of pessimistic judgements concerning personal performance in the depressed. The cognitive bias hypothesis was only supported for global estimates of performance and not for trial-by-trial decisions. This weakens the view that there is a fixed cognitive pessimistic bias and leaves open the possibility either that differences relate to the assessment of frequency or to protective strategies operated by the depressed.

Adolescent↗

Visual receptive fields sensitive to absolute and relative motion during tracking.

Some neurons in the visual cortex of awake monkeys visually tracking a moving target showed receptive fields that were excited only by stimulus motion relative to a background, while other neurons responded to any kind of stimulus motion. This result was found with two methods, one in which tracking eye movements were identical in both relative-motion and absolute-motion conditions, and another in which stimulus motions on the retina were identical in both conditions. This response pattern can differentiate translation of the retinal image during eye movement from motion of objects in the world.

Animals↗

Meprobamate reduces accuracy of physiological detection of deception.

Normal male subjects attempted to deceive an experimenter recording electrodermal, respiratory, an cardiovascular activity. Those who had ingested a placebo or nothing were detected with statistically significant frequency on the basis of their phasic electrodermal responses, which clearly distinguished them from truthful suspects. That was not the case with deceptive subjects who had ingested 400 milligrams of meprobamate, nor did the examiner detect which subjects had received the drug.

Blood Pressure↗

Learning a unimanual motor skill by partial commissurotomy patients.

A series of motor tests on four Chinese partial commissurotomy patients is reported. The single-stage commissurotomy in all four patients included the anterior commissures and two-thirds or four-fifths section of the corpus callosum with sparing of the splenium. There was no demonstrable ability to transfer hand posture in these patients. This was the major evidence for functional deconnexion. A newly learned task of one-hand knotting revealed right hand impairment in all four patients. There was no dyspraxia in the right hand for over-learned object-handling tasks in these patients. It is suggested that there might be right hemisphere specialisation for the initial acquisition of unimanual object-handling skills and that the spared callosal fibres in the splenium alone are insufficient to mediate task control under these conditions. This is supported by the finding that one of these patients, who was the only one who had a right parietal lesion, was unable to perform the newly learned task with either hand.

Adolescent↗

Trial sequence of changed unit activity in auditory system of alert rat during conditioned response acquisition and extinction.

1. The activity of units in the auditory system of alert, freely moving rats was studies during the acquisition and extinction of a tone-signaled, appetitive classically conditioned response. Responses of neurons in inferior colliculus (N = 28), medial geniculate (N = 32), posterior nucleus of thalamus (N = 28), pretectal region (N = 19), and cortex (N = 100) were studies in 74 rats across 10-trial blocks. 2. During behavioral acquisition, neurons in posterior nucleus of thalamus were the first to show response increments to CS+ onset. They were followed by neurons in cortex, pretectal region, medial geniculate, inferior colliculus and by movement behavior. 3. Prestimulus background rates during acquisition showed significant decrements in cortical neurons. These background decrements began to be evidenced in the trial series before the response increases in posterior nucleus. These data strengthened the suggestion of a previous study that posterior nucleus responses could be dependent on tonic modulation from cortex. 4. Extinction appeared to be largely a reverse of acquisition. Cortex and behavior showed response decrements first in the trial series. They were followed by medial geniculate, pretectal region, posterior nucleus, and inferior colliculus neurons. 5. The hypothesis was advanced that the auditory lemniscal adjunct afferent system may play a primary role in the early phases of auditory conditioned-response acquisition.

Acoustic Stimulation↗

Responses of monkey dopamine neurons during learning of behavioral reactions.

1. Previous studies have shown that dopamine (DA) neurons respond to stimuli of behavioral significance, such as primary reward and conditioned stimuli predicting reward and eliciting behavioral reactions. The present study investigated how these responses develop and vary when the behavioral significance of stimuli changes during different stages of learning. Impulses from DA neurons were recorded with movable microelectrodes from areas A8, A9, and A10 in two awake monkeys during the successive acquisition of two behavioral tasks. Impulses of DA neurons were distinguished from other neurons by their long duration (1.8-5.0 ms) and low spontaneous frequency (0.5-7.0 imp/s). 2. In the first task, animals learned to reach in a small box in front of them when it opened visibly and audibly. Before conditioning, DA neurons were activated the first few times that the empty box opened and animals reacted with saccadic eye movements. Neuronal and behavioral responses disappeared on repeated stimulus presentation. Thus neuronal responses were related to the novelty of an unexpected stimulus eliciting orienting behavior. 3. Subsequently, the box contained a small morsel of apple in one out of six trials. Animals reacted with ocular saccades to nearly every box opening and reached out when the morsel was present. One-third of 49 neurons were phasically activated by every door opening. The response was stronger when food was present. Thus DA neurons responded simultaneously to the sight of primary food reward and to the conditioned stimulus associated with reward. 4. When the box contained a morsel of apple on every trial, animals regularly reacted with target-directed eye and arm movements, and the majority of 76 DA neurons responded to door opening. The same neurons lacked responses to a light not associated with task performance that was illuminated at the position of the food box in alternate sessions, thus demonstrating specificity for the behavioral significance of stimuli. 5. The second task employed the operant conditioning of a reaction time situation in which animals reached from a resting key toward a lever when a small light was illuminated. DA neurons lacked responses to the unconditioned light. During task acquisition lasting 2-3 days, one-half of 25 DA neurons were phasically activated when a drop of liquid reward was delivered for reinforcing the reaching movement. In contrast, neurons were not activated when reward was delivered at regular intervals (2.5-3.5 s) but a task was not performed.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗