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Activity of single neurons in the monkey amygdala during performance of a visual discrimination task.

1. The activity of single neurons was recorded extracellularly from the monkey amygdala while monkeys performed a visual discrimination task. The monkeys were trained to remember a visual stimulus during a delay period (0.5-3.0 s), to discriminate a new visual stimulus from the stimulus, and to release a lever when the new stimulus was presented. Colored photographs (human faces, monkeys, foods, and nonfood objects) or computer-generated two-dimensional shapes (a yellow triangle, a red circle, etc.) were used as visual stimuli. 2. The activity of 160 task-related neurons was studied. Of these, 144 (90%) responded to visual stimuli, 13 (8%) showed firing during the delay period, and 9 (6%) responded to the reward. 3. Task-related neurons were categorized according to the way in which various stimuli activated the neurons. First, to evaluate the proportion of all tested stimuli that elicited changes in activity of a neuron, selectivity index 1 (SI1) was employed. Second, to evaluate the ability of a neuron to discriminate a stimulus from another stimulus, SI2 was employed. On the basis of the calculated values of SI1 and SI2, neurons were classified as selective and nonselective. Most visual neurons were categorized as selective (131/144), and a few were characterized as nonselective (13/144). Neurons active during the delay period were also categorized as selective visual and delay neurons (6/13) and as nonselective delay neurons (7/13). 4. Responses of selective visual neurons had various temporal and stimulus-selective properties. Latencies ranged widely from 60 to 300 ms. Response durations also ranged widely from 20 to 870 ms. When the natures of the various effective stimuli were studied for each neuron, one-fourth of the responses of these neurons were considered to reflect some categorical aspect of the stimuli, such as human, monkey, food, or nonfood object. Furthermore, the responses of some neurons apparently reflected a certain behavioral significance of the stimuli that was separate from the task, such as the face of a particular person, smiling human faces, etc. 5. Nonselective visual neurons responded to a visual stimulus, regardless of its nature. They also responded in the absence of a visual stimulus when the monkey anticipated the appearance of the next stimulus. 6. Selective visual and delay neurons fired in response to particular stimuli and throughout the subsequent delay periods. Nonselective delay neurons increased their discharge rates gradually during the delay period, and the discharge rate decreased after the next stimulus was presented. 7. Task-related neurons were identified in six histologically distinct nuclei of the amygdala.(ABSTRACT TRUNCATED AT 400 WORDS)

Amygdala↗

Posttraumatic embitterment disorder.

BACKGROUND: Adjustment and reactive disorders are a heterogeneous group of mental disorders. Diagnostic criteria are vague and scientific research is limited despite the fact that these disorders play a major role in clinical practice. METHODS: The 'posttraumatic embitterment disorder' (PTED) is introduced as a new concept for a subgroup of adjustment disorders. A case vignette and diagnostic criteria are presented. RESULTS: Core criteria of PTED are: (1) a single exceptional negative life event precipitates the onset of the illness; (2) the present negative state developped in the direct context of this event; (3) the emotional response is embitterment and feelings of injustice; (4) repeated intrusive memories of the event; (5) emotional modulation is unimpaired, patients can even smile when engaged in thoughts of revenge, and (6) no obvious other mental disorder that can explain the reaction. Additional symptoms are feelings of helplessness, self-blame, rejection of help, suicidal ideation, dysphoria, aggression, down-heartedness, seemingly melancholic depression, unspecific somatic complaints, loss of appetite, sleep disturbances, pain, phobic symptoms in respect to the place or to persons related to the event, reduced drive. Duration is longer than 3 months. Performance in daily activities and roles is impaired. CONCLUSIONS: PTED is a frequent disorder. The diagnosis of PTED can lead to specific therapeutic interventions. PTED can be discriminated from PTSD, depression, anxiety disorders, and other adjustment disorders.

Adjustment Disorders↗

Pathological laughter as an obsessive-compulsive phenomenon.

METHOD: Pathological laughter has been known to occur in organic and functional psychotic disorders and is sometimes seen in hysteria. Though it is an important phenomenon, its significance in other psychiatric disorders has been negligible. This case report highlights the phenomenology of pathological laughter as an obsessive-compulsive phenomenon in an adolescent girl. RESULTS: The girl was brought by her parents with a history of laughing without reason, but on detail evaluation, it was found that her laughing was an irrational and ego-dystonic phenomenon. She also showed resistance to her symptom. A family history of obsessive-compulsive disorder in the parental grandfather, the habit of smiling in her father and her childhood emotional trauma and sexual abuse could have contributed to the formation of the symptom. Selective serotonin reuptake inhibitor drugs and behavior therapy showed good improvement in this case. DISCUSSION: Pathological laughter, though common in organic and psychotic disorders, can present primarily as an obsessive-compulsive phenomenon as well. This case suggests that each and every patient with a history of pathological laughter in a psychiatry clinic should not be labeled as psychotic unless he or she is assessed in detail.

Adolescent↗

Caries patterns in primary dentition in 3-, 5- and 7-year-old children: spatial correlation and preventive consequences.

This study aimed to contribute to the descriptive information of oral health status in the primary dentition, especially concerning the distribution and spatial correlation of lesions. Data were obtained from two surveys. In the Signal-Tandmobiel project 4,468 7-year-old children in Flanders (Belgium) were selected by a stratified clustered random sample. In the Tandje de Voorste - Smile for Life (TDV) project, data were obtained from 1,291 3-year-old and 1,315 5-year-old children. The children were examined by trained dentists, using standardized and widely accepted criteria, based on the British Association for the Study of Community Dentistry criteria. At the population level, symmetry in the prevalence of caries experience across the midline was tested at the tooth and tooth surface levels using generalized estimating equations and alternating logistic regression (ALR) approaches. Individual symmetry was tested using an approach described by Hujoel et al. [J Dent Res 1994;73:1575-1580]. Descriptive observations suggested a symmetrical distribution of caries experience at the population level. The null hypothesis of symmetry could not be rejected at a 0.05 level, suggesting that caries experience might be symmetric in the deciduous dentition. Based on the ALR approach, 2 x 2 associations of caries experience at the tooth and surface levels, both in 5- and 7-year-olds, appeared to be strongest for the left-right pairs in the mandible, followed by the left-right pairs in the maxilla. At the individual level the hypothesis of random caries pattern was rejected (p < 0.0001). In conclusion, at the population level the null hypothesis of left-right symmetry could not be rejected, while at the individual level lesions tended to cluster on one side of the mouth.

Belgium↗

Endoscopic surgery of calculi in ureteroceles.

Of 366 patients with lower ureteral calculi operated upon by the author, 25 (6.83%) had a stone in a ureterocele. Operation is necessary as these stones cannot pass spontaneously. If endoscopic surgery is undertaken, the following must be taken into account: the ureteral tone, and the size, number and type of ureterocele. In all of our cases we used an endoscopic 'smiling mouth' incision, associated in 6 cases with lithotrity. We obtained good results in 22 cases and in only 1 case was vesicoureteral reflux found postoperatively.

Adult↗

Children unable to perform screening tests in vision in preschoolers study: proportion with ocular conditions and impact on measures of test accuracy.

PURPOSE: To examine the relative prevalence of ocular conditions among children who are unable to perform preschool vision screening tests and the impact on measures of screening test performance. METHODS: Trained nurse and lay screeners each administered a Lea Symbols visual acuity (VA) test (Good-Lite, Inc., Steamwood, IL), Stereo Smile II test (Stereo Optical, Inc., Chicago, IL), and Retinomax Autorefractor (Right Manufacturing, Virginia Beach, VA), and SureSight Vision Screener (Welch Allyn, Inc., Skaneateles Falls, NY) examinations to 1475 children who later received a comprehensive eye examination to identify amblyopia, strabismus, significant refractive error, and unexplained reduced VA. The outcomes of the examination for children for whom screeners were unable to obtain results (Unables) were compared to the outcomes of children who passed and children who failed each screening test. When estimating sensitivity, specificity, and positive and negative predictive values (PPV and NPV), Unables were classified as either screening failures or screening passers. RESULTS: Less than 2% of children were classified as Unables for each test. The percentage with an ocular condition was at least two times higher for Unables than for screening passers for six of the eight modes of screening (P < 0.05). Considering Unables as screening failures, rather than screening passers, increased the estimate of sensitivity by 1% to 3% (depending on test) and decreased the estimate of specificity by 0% to 2%; PPV decreased by 0% to 4% for most tests, whereas NPV increased by <1%. CONCLUSIONS: Preschool children who are unable to perform VIP screening tests are more likely to have vision disorders than are children who pass the tests. Because < or =2% of children were unable to do each test, referring these children for an eye examination had little impact on the PPV and NPV of the tests, as administered in VIP.

Allied Health Personnel↗

Behavioral predictors of amitriptyline response in depression.

In this study of 18 female depressed patients and 18 age- and sex-matched control subjects, the authors examined the relationship between nonverbal behavior and treatment outcome with amitriptyline. A behavioral analysis indicated that amitriptyline responders could be differentiated from nonresponders before drug treatment on the basis of discrete nonverbal behaviors. Nonresponders showed a high frequency of body-focused self-adaptors, posture shifts, and pauses and a low frequency of smiles, while responders displayed long speech pauses and long durations of head aversion.

Adolescent↗

Pychoanalysis and art, Freud and Leonardo.

Freud was the first to apply psychoanalysis to art, choosing for his subject the life and work of Leonardo da Vinci. Observing Leonardo's partly fused image of the Virgin and St. Anne, he inferred that the artist had depicted his two mothers, his biological mother and his stepmother. This very early analytic discourse on parent loss and adoption changed the course of the interpretation of art. Freud explored the psychology of art, the artist, and aesthetic appreciation. Confronting the age-old enigma of the Mona Lisa, he proposed a daring solution to the riddle of the sphinxlike smile of this icon of art. His paper prefigures concepts of narcissism, homosexuality, parenting, and sublimation. Lacking modern methodology and theory, Freud's pioneering insights overshadow his naive errors. In this fledgling inquiry, based on a childhood screen memory and limited knowledge of Leonardo's artistic and scientific contributions, Freud identified with this Renaissance genius in his own self-analytic and creative endeavor.

Art↗

On the persistence of very early memory traces in psychoanalysis, myth, and religion.

It is tentatively proposed that fragments of certain early perceptual experiences of the parental objects such as the sight of the face and the breast of the mother, the smiling or angry expression of the face, the pleasing or disagreeable character of the voice, the soft touch or rough handling, the sight of the hands may occasionally be recoverable in the course of analysis. Some mythological figures and religious symbols may also hark back to similar motifs. The relation of this material to early modes of perception and the beginnings of object relations is examined. The data are correlated with the findings of child observation and of modern experimental psychology.

Child Development↗

Quantification of the three-dimensional displacement of normal facial movement.

This study was undertaken to quantify 3-dimensional (3-D) facial movement in normal subjects, and to identify the individual axes in which this movement occurred. Displacement data on 42 subjects were collected and analyzed with the Expert Vision Motion Analysis System. The 3-D displacement was calculated by vectorially subtracting maximum marker movement from previously identified reference marker points. The 3-D range of normal facial movement was quantified, with the greatest displacement occurring during maximum smile. When the individual axes were examined, we found that most movement occurred in the vertical axes for the majority of expressions, followed by the anterior-posterior axis. These results may create an objective baseline from which disorders of the facial nerve, and hence, medical, surgical, and physiotherapy treatment interventions, can be analyzed in the future.

Adult↗

Acute toxicological effects of ingested tooth whiteners in female rats.

Tooth whiteners are considered as cosmetic agents to be used for bleaching teeth. Since tooth whitener may be swallowed during the whitening procedure, studies were conducted to determine whether ingestion of tooth whitener containing carbamide peroxide resulted in toxic effects. Adult female rats were used, and vaginal smears were examined daily to determine whether the animals were ovulating. Following an overnight fast, a single bolus of a commercial tooth whitener (5 g of tooth whitener/kg fasting body weight) was administered by gavage. Control rats received de-ionized water. After 2 h, mean respirations per min of animals receiving the tooth whitener Quik Start (contains 35% carbamide peroxide) decreased from 169 to 55, and body temperature decreased from 38.4 to 34 degrees C. Other distress signs included: labored breathing, loss of righting reflex, partial eye closure, bloody urine, and incontinence. Three of 22 animals (3/22) died within 48 h, of gastric hemorrhaging. Eight/10 rats stopped ovulating. At necropsy 2 weeks post-dosing, 10/19 animals had grossly bloated stomachs, and mucosal necrosis was observed histologically in 3. Animals receiving White & Brite or Nu-Smile (containing 10 or 15% carbamide peroxide, respectively) exhibited similar but milder symptoms. The data indicate that ingestion of large doses of commercial preparations of tooth whiteners may be acutely toxic, sometimes fatal, to female laboratory rats.

Animals↗

Are we puppets on a string? The contextual meaning of unconscious expressive cues.

In three studies, the authors show that unconscious expressive cues can lead to opposite evaluations, depending on the context in which they occur. In Study 1, brow (vs. cheek) tension reduced preferences in an easy judgment context but increased preferences in a difficult context. In Study 2, head shaking (vs. nodding) either increased or decreased prosocial affect depending on the context in which the judged character was presented. In Study 3, a subliminal smile (vs. frown) led to higher self-ratings of performance when paired with one's own actions but to lower self-ratings of performance when paired with a competitor's actions. Together, these results suggest that the meaning of unconscious expressive cues is not fixed.

Affect↗

Positivity can cue familiarity.

Given that familiarity is closely associated with positivity, the authors sought evidence for the idea that positivity would increase perceived familiarity. In Experiment 1, smiling and thus positively perceived novel faces were significantly more likely to be incorrectly judged as familiar than novel faces with neutral expressions. In Experiment 2, subliminal association with positive affect (a positively valenced prime) led to false recognition of novel words as familiar. In Experiment 3, validity judgments, known to be influenced by familiarity, were more likely to occur if participants were in happy mood states than neutral mood states. Despite their different paradigms and approaches, the results of these three studies converge on the idea that, at least under certain circumstances, the experience of positivity itself can signal familiarity, perhaps because the experience of familiarity is typically positive.

Adult↗

Unconscious affective reactions to masked happy versus angry faces influence consumption behavior and judgments of value.

The authors explored three properties of basic, unconsciously triggered affective reactions: They can influence consequential behavior, they work without eliciting conscious feelings, and they interact with motivation. The authors investigated these properties by testing the influence of subliminally presented happy versus angry faces on pouring and consumption of beverage (Study 1), perception of beverage value (Study 2), and reports of conscious feelings (both studies). Consistent with incentive motivation theory, the impact of affective primes on beverage value and consumption was strongest for thirsty participants. Subliminal smiles caused thirsty participants to pour and consume more beverage (Study 1) and increased their willingness to pay and their wanting more beverage (Study 2). Subliminal frowns had the opposite effect. No feeling changes were observed, even in thirsty participants. The results suggest that basic affective reactions can be unconscious and interact with incentive motivation to influence assessment of value and behavior toward valenced objects.

Adult↗

The role of perceived similarity in supportive responses to victims of negative life events.

The authors examined whether participants' perceived similarity to an ostensible victim of a negative life event influenced their supportiveness during a live interaction. Two competing models were considered: (a) increased similarity would be associated with increased supportiveness through attraction to the target and (b) increased similarity would be associated with decreased supportiveness through anxiety (due to heightened vulnerability). Participants (N = 241) met individually with a confederate posing as a cancer patient. Reactions were assessed, including verbal and nonverbal behaviors, both before and after the interaction, by participants themselves and by observers of the interaction. Results supported a model based on the classic similarity/attraction paradigm: Perceived similarity indirectly predicted participant-reported supportiveness/warmth and smiling through its relationship to attraction. Results extend the literature on similarity and attraction to the stress and coping arena and suggest that emphasizing perceived similarities to victims would be beneficial.

Adaptation, Psychological↗

Characterization of the facial expression of emotions in schizophrenia patients: preliminary findings with a new electromyography method.

OBJECTIVE: We investigated facial expression of emotions (FEE) in schizophrenia patients, using an improved and highly selective facial electromyography (EMG) method, and we examined the correlation between FEE and psychopathology. METHOD: We compared unmedicated patients with schizophrenia (n = 32) with healthy subjects (n = 21) with regard to the activity of 3 joy-relevant facial muscles (the M.zygomaticus, the M. orbicularis oculi, and the M.levator labii). Emotions were induced by pictures from the International Affective Picture System. We measured previsible muscle activity with a new, highly selective facial EMG. We used the Positive and Negative Syndrome Scale to evaluate psychopathology. RESULTS: Patients with schizophrenia showed fewer joy or smile reactions than did control subjects and displayed decreased activity of the M.orbicularis oculi and M.zygomaticus under presentation of positive pictures. Reduced activity of these muscles can be caused by depression. Increased activity of the M. levator labii correlates with positive symptoms. CONCLUSIONS: Our findings indicate that psychopathological syndromes correlate with schizophrenic mimic disturbances. These results can be used to compare various antipsychotics with regard to their influence on mimic disturbances.

Adult↗

Utility of early single photon emission computed tomography (SPECT) in neonatal gelastic epilepsy associated with hypothalamic hamartoma.

Gelastic epilepsy, or laughing seizures, is a rare seizure manifestation often associated with hypothalamic hamartoma. This seizure type is well described in older children and adults, but has only rarely been reported in neonates, oftentimes recognized in retrospect when the children are older. We report a child diagnosed at 3 months of age with a large hypothalamic mass after evaluation for spells occurring since birth. The spells were characterized by bursts of hyperpnea, followed by repeated "cooing" respirations, giggling, and smiling. These spells were recognized soon after birth in the delivery room, and occurred at 15-20 minute intervals. They did not interrupt feeding and occurred during sleep. On referral to our center, the patient was noted to be thriving, with normal medical and neurologic examinations except for his spells. The laboratory evaluation was normal, as were endocrine and ophthalmologic evaluations. Neuroimaging was performed, with magnetic resonance imaging demonstrating a large 2.8-cm isodense, nonenhancing hypothalamic mass. Electroencephalogram was abnormal, demonstrating bi-frontal sharp and spike-wave discharges. Video-EEG did not demonstrate ictal discharges associated with the patient's spells. Single photon emission computed tomography (SPECT) demonstrated dramatic ictal uptake in the area of the tumor, with normalization during the interictal phase. Partial excision of hamartomatous tissue has minimally improved the spells. In conclusion, this patient manifested an unusual, early presentation of a rare seizure type. SPECT scanning confirmed the intrinsic epileptogenesis of the hamartoma, further justifying a surgical approach to such patients. Early surgical intervention is probably indicated in an attempt to minimize or prevent the cognitive and behavioral sequelae commonly seen with this seizure type.

Diagnosis, Differential↗

Women's experiences breastfeeding in public places.

This two-part field study compared researchers' recorded observations to mothers' perceptions of attention they received while publicly breastfeeding. In part 1, four breastfeeding and four bottle-feeding mothers each made eight restaurant visits. On average, there were more neutral looks from customers (P = .01) during breastfeeding visits, but no differences in the amount of overtly negative or positive attention given during breastfeeding versus bottle feeding. In part 2, four breastfeeding mothers made a total of 24 visits to shopping malls. There were more neutral looks given while mothers were breastfeeding and more smiles and comments while they were not feeding, but no difference in total amount of attention received. Breastfeeding mothers acknowledged they had anticipated some undesirable attention but instead received little attention. Nevertheless, they felt "vulnerable" nursing in public. Certain proactive behaviors and personal attributes as well as support from other women enabled them to breastfeed successfully in public.

Adult↗