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Biomedical subjects

G E Murphy

Publications and source records attributed to G E Murphy.

At least 19 recordsLinked to original sources
PubMed1992

Multiple risk factors predict suicide in alcoholism.

From a study of the lives of 50 alcoholics who committed suicide, seven nonacute clinical/historical features were identified post hoc that appear to be intimately linked to suicide. They included continued drinking, major depressive episode, suicidal communication, poor social support, serious medical illness, unemployment, and living alone. This study examined whether these features are common to alcoholics generally and/or to nonalcoholics who commit suicide or if they may be specifically predictive of suicide in alcoholics. The frequencies of these factors were compared with those in an earlier sample of 32 alcoholics who committed suicide, then with data from two St Louis studies of living alcoholics and a cohort of individuals with major depressive disorder who committed suicide. The frequency of the identified items was replicated among the 32 alcoholics in a larger community sample of individuals who committed suicide. The white men from those two samples of alcoholics who committed suicide were then combined for the advantage of sample size. Six of the seven factors could be compared with a population survey sample of 106 living alcoholics and five with a clinically identified sample of 142 living alcoholics. All compared factors were significantly more frequent among those who committed suicide than among controls. Any four of the six factors identified 46 (69%) of the 67 individuals who committed suicide with few false-positive results among the controls. Regarding all seven of the identified factors, 54 (81%) of the 67 men and 64 (83%) of the entire sample of 82 individuals who committed suicide had four or more risk factors. Alcoholic women and blacks showed the same pattern as white men.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1992

Minimizing anisometropia in bilateral pseudophakia.

One hundred twenty patients who had bilateral posterior chamber intraocular lens implantation were analyzed for postoperative anisometropia. All pairs of lenses had the same A constant and similar designs. Several parameters were analyzed to identify patients at higher risk for clinically significant anisometropia upon implantation of the second eye and determine whether the results of the first eye could be used to modify the implant power selected for the second eye to reduce the risk of anisometropia. In most cases, simply using the value of the linear regression prediction for emmetropia in the second eye without modifications minimized anisometropia.

Anisometropia↗
PubMed1992

Prescribing therapy for depression: the role of learned resourcefulness, a failure to replicate.

Work in 1985 by Simons, Lustman, Wetzel, and Murphy showed that a patient's score on Rosenbaum's self-control scale predicted differential response to treatments for depression, with a high score predicting a good outcome with talking therapy and a low score a good outcome with drug therapy. This study of 37 patients did not replicate those findings. Using the same paradigm, we predicted response correctly 7 times and incorrectly 16 times, a clear failure. A valid method for choosing the best treatment for a patient with major depression remains to be found.

Adult↗
PubMed1992

Digestion, feed intake, and live weight gain by cattle consuming bermudagrass hay supplemented with whey.

Three experiments were conducted with cattle consuming bermudagrass hay to determine whether low-level supplements of whey alone, corn alone, or whey plus corn affect feed intake, digestion, and(or) BW gain. Six ruminally and duodenally cannulated beef cows (574 kg), used in a Latin-square trial (Exp. 1), were fed bermudagrass hay without supplementation (control) or with 2.8% whey (low whey, LW), 5.6% whey (high whey, HW), 17.4% ground corn (C), 2.8% whey plus 14.9% corn (C-LW), or 5.6% whey plus 12.4% corn (C-HW). Supplementing with whey and(or) corn increased ruminal butyrate (8.8, 9.4, 10.0, 9.6, 10.5, and 11.0 mol/100 mol of total VFA for control, LW, HW, C, C-LW, and C-HW, respectively; SE = .20). Supplements did not affect microbial N flow at the duodenum. Six Holstein steer calves (158 kg) in a Latin square (Exp. 2) consumed bermudagrass hay ad libitum alone (control) or with .075 or .15% BW whey (LW and HW, respectively), .5% BW ground corn (C), or corn-whey mixes made by substituting whey for corn (C-LW and C-HW). Substituting .15% BW of whey for corn increased (P less than .05) total OM intake slightly (3.99, 3.84, 3.75, 4.11, 4.28, and 4.47 kg for control, LW, HW, C, C-LW, and C-HW, respectively; SE = .10). In an 84-d randomized block experiment (Exp. 3), 96 beef calves (194 kg) consumed (ad libitum) low-quality bermudagrass hay alone or with C, LW, HW, C-LW, or C-HW supplements.(ABSTRACT TRUNCATED AT 250 WORDS)

Animal Feed↗
PubMed1991

Effects of animal and supplement characteristics on average daily gain of grazing beef cattle.

Effects of animal gender and age, use of a growth stimulant, and supplementation with grain alone or grain plus other substances on ADG by growing beef cattle grazing bermudagrass paddocks with sod-seeded rye, wheat, and ryegrass were determined. Two grazing experiments (Exp. 1: late winter through mid-spring; Exp. 2: late spring through mid-summer) were conducted. Experiment 1 used 96, 12- to 13-mo-old Simmental-cross calves (heifers, 240 kg; steers, 272 kg), half of which were implanted with zeranol. Within each implant treatment, cattle received no supplement or .5% BW (DM) of ground corn alone or plus a mix of protein meals, zinc sulfate, thiamin-HCl, or salt. Daily gain was higher (P less than .05) with than without supplementation and was similar (P greater than .10) among supplement treatments. In Exp. 2, 96 crossbred beef steers, approximately 7 (230 kg) or 15 mo old (250 kg), were not supplemented (control) or received .5% BW (DM) of ground corn on d 1 to 84 (C-C), corn plus a protein meal mix on d 1 to 84 (CP-CP), corn on d 43 to 84 (O-C), corn plus the protein meal mix on d 43 to 84 (O-CP), or corn on d 1 to 42 and corn plus the protein meal mix on d 43 to 84 (C-CP). Daily gain on d 1 to 84 was affected (P less than .05) by supplement, age, implant, and the supplement x implant interaction (nonimplanted: .37, .56, .68, .40, .49, and .49; implanted: .37, .62, .54, .49, .70, and .71 kg for control, C-C, CP-CP, O-C, O-CP, and C-CP, respectively).

Adipose Tissue↗
PubMed1990

The lifetime risk of suicide in alcoholism.

Current estimates of the lifetime risk of suicide in alcoholism (11% to 15%) are shown statistically to be untenable. Examination of the mortality from suicide in all published follow-up studies of alcoholics containing the requisite data permits calculation of a much smaller lifetime suicide risk: about 2% in untreated and 2.21% in outpatient-treated probands. Studies of alcoholics identified from hospital admissions yield a lifetime risk of about 3.4% for the United States, the United Kingdom, and other English-speaking countries. It is higher in the Scandinavian and European countries with high suicide rates, but not in those with low national suicide rates. The population at risk is shown to be about half of that commonly estimated, and consists of seriously affected alcoholics. While the annual incidence of suicide in the United States is about 1.3% currently, only that quarter of the population identifiably psychiatrically ill is at significant risk. Despite the seemingly miniscule lifetime risk of 2% to 3.4%, the likelihood of suicide in conservatively diagnosed alcoholism is between 60 and 120 times that of the non-psychiatrically ill. Such alcoholism contributes about 25% of the suicides.

Alcoholism↗
PubMed1988

Comparison of adinazolam, amitriptyline, and placebo in the treatment of melancholic depression.

Adinazolam, a triazolobenzodiazepine, was compared with amitriptyline and placebo in a double-blind protocol involving melancholic depressives. Forty-eight patients entered the study, and 35 completed 6 weeks of evaluation. Patients were well matched in each of the groups. Initially, the adinazolam group showed more improvement than the placebo group, but this trend did not persist beyond day 7. The amitriptyline group tended to show more improvement than either the placebo or adinazolam groups, and final scores were significantly better for amitriptyline. Depressive symptoms in the amitriptyline dropout group appeared improved, whereas in the adinazolam and placebo dropout groups they were unchanged or worse. Both amitriptyline and adinazolam were more frequently associated with complaints of side effects than placebo. Thus, amitriptyline was observed to be superior to adinazolam and placebo in improvement in depressive symptoms while adinazolam had only a brief early advantage over placebo.

Adolescent↗
PubMed1987

The changing relationship between age and suicide rates: cohort effect, period effect or both?

Massive changes in suicide rates over time have been recognized in the United States. An attempt has been made to describe these changes with age-period-cohort analyses. A variety of approaches has led us to conclude that suicide rates of non-white males, white and non-white females can be described adequately without a cohort effect. Recent suicide trends lead to the conclusion that a model based on a rising rate in more recently born white male cohorts coupled with an independent age effect could be rejected. If a cohort effect is postulated for more recent birth cohorts, it would require that the cohort suicide rate is decreasing with each successive birth cohort. Models based on high suicide rates in recent cohorts and additive age effects are probably misleading for future predictions. An association was noted between recent changes in the teenage and young adult suicide rates and rates of depression. Both may be the product of similar social influences.

Adolescent↗
PubMed1986

Cognitive therapy and pharmacotherapy for depression. Sustained improvement over one year.

Seventy patients with nonbipolar affective disorder who completed a 12-week course of either cognitive therapy (CT), pharmacotherapy, CT plus active placebo, or CT plus pharmacotherapy were assessed one month, six months, and one year after termination of active treatment. Of the 44 patients who had originally responded to treatment, 16 relapsed as defined by reentry into treatment or by self-reported depression scores in the moderately depressed range. Twenty-eight patients remained well during the one-year follow-up. Patients with relatively high levels of remaining depressive symptoms on completion of treatment relapsed more often than those who had little or no residual depression. Further, at treatment termination, patients who relapsed had significantly higher scores on a measure of dysfunctional attitudes. Patients who had received CT (with or without tricyclic antidepressants) were less likely to relapse in the one-year follow-up period than patients who received pharmacotherapy.

Adolescent↗
PubMed1986

A BASIC program for deriving linear regression formulas for intraocular lens power prediction.

We present an original BASIC program written specifically for the ophthalmologist that allows calculation of linear regression formulas for prediction of emmetropic lens power from the surgeon's own data. The program features ongoing data storage, options for analyzing specific ranges (such as longer axial lengths), and calculation of residuals. The program is user-friendly and may be used with minimal computer knowledge. The authors will copy the program at no charge on a user's initialized diskette.

Computers↗
PubMed1986

Long-term gonioscopy follow-up of eyes with posterior chamber lens implants and no iridectomy.

One hundred eyes which had undergone extracapsular cataract extraction with no iridectomy followed by insertion of a posterior chamber lens were examined gonioscopically 1 to 4.7 years postoperatively to determine the prevalence of asymptomatic angle closure from pupillary block. Since no peripheral anterior synechiae (PAS) characteristic of pupillary block were found, there seems to be little risk that these eyes will develop angle-closure glaucoma. During the study small PAS were noted adjacent to many haptics implanted in the ciliary sulcus.

Cataract Extraction↗
PubMed1979

Suicide and alcoholism. Interpersonal loss confirmed as a predictor.

We earlier reported that nearly one third of a consecutive series of 31 alcoholics who committed suicide had experienced loss of a close interpersonal relationship within six weeks or less of their death. In a replication study of 50 additional unselected alcoholic suicides, we found that 26% had experienced such loss within six weeks. As before, the distribution of such events was strikingly and significantly skewed toward the final weeks of the subject's life. This powerful confirmation gives added significance to such loss as a predictor of suicide among alcoholics.

Adult↗