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Biomedical subjects

H Davis

Publications and source records attributed to H Davis.

15 recordsLinked to original sources

Psychiatric aspects of shoplifting.

Clinical evidence of depression present for some months before an episode of shoplifting without criminal intent was found in all 17 patients interviewed after the offence. The person at risk would appear to be a depressed middle-aged woman with a passive-dependent personality, married to an ineffectual rejecting husband who is unable to meet her dependency in times of crisis. Recognition of her depression and appropriate intervention are essential if a criminal deed is to be avoided.

Age Factors

Diet-related toxemia in pregnancy. I. Fat, fatty acids, and cholesterol.

Toxemia in pregnancy (preeclampsia)is characteristerized by a combination of at least two of the following clinical symptoms: hypertension, edema, and proteinuria. In three successive trials over three consecutive years, the dietary intake of a selected number of young pregnant women attending a Maternal and Infant Care Program at Tuskegee Institute were evaluated for total lipids, individual fatty acids, and cholesterol. Women with toxemia or with any of the individual symptoms were identified and women without toxemia or these symptoms served as controls. Results were variable from repetition to repetition in all but the toxemia group and the edema group. The consumption of total lipids and cholesterol was significantly greater in all three trials by both the toxemia and edema groups. Also, total saturated, monounsaturated, and polyunsaturated fatty acids were eaten in greater amounts. The greatest differences were in palmitic acid, stearic acid, oleic acid, and linoleic acid. The proportion of unsaturated fatty acids consumed in all groups was very low. All differences could be attributed primarily to breakfast and dinner meals and were found in the milk, meat, and egg food groups. Although satistical correlations were found between lipid intake and toxemia of pregnancy any specific relationship between the two is still unclear.

Adolescent

A phase III study comparing the clinical utility of four regimens of 5-fluorouracil: a preliminary report.

A clinical trial involving 462 colon, rectum, and breast cancer patients randomized among four different dosage regimens of 5-FU (an intravenous loading course, a weekly intravenous schedule, a nontoxic schedule, and an oral schedule) has shown a significantly better response among colon-rectum cancer patients for the intravenous loading course. In addition, duration of response and time to progression are also significantly better. Overall survival is approaching significance for the colon rectum group (p value .082). In contrast, breast cancer patients show little difference between treatments. Toxicity is somewhat higher for the loading course.

Administration, Oral

Audiometric comparison of the middle and late components of the adult auditory evoked potentials awake and asleep.

The middle and the late components of auditory evoked potentials were alternately recorded in sequential sets from 28 adults, both awake and asleep. Sleep was induced by secobarbital and was monitored for depth. 1000 c/sec tone pips in one laboratory or filtered clicks in the other were delivered at 10, 20 or 30 dB sensation level. Control collections without stimulation were included. For the middle responses a single simple scoring template and one set of voltage criteria could be used for all stages of waking and sleeping. For late responses different templates and voltage criteria were needed. Estimates of the threshold of detection of the evoked potentials were based on the percentage of clearly positive responses was often not attained at 30 dB SL, i.e., the threshold was indeterminate. In light sleep and awake the middle responses of most subjects gave thresholds more sensitive than the late by 10-15 dB and also fewer indeterminate trials. The results in our two laboratories agreed closely in spite of differences in equipment and details of procedure. The relatively low thresholds of the middle responses (median 17.5 dB SL awake and 15 dB SL in light sleep) suggest that the middle responses must be considered seriously for use in clinical electric response audiometry, even though one of the 28 subjects failed to yield any identifiable middle responses.

Adult

Summation of excitatory and inhibitory control produced by traditional tone-shock contingencies and autocontingencies.

Previous research has demonstrated that rats can be unsignaled shock to predict subsequent periods free from shock. This shock-no shock stimulus arrangement, termed an autocontingency, has appeared less likely to exert behavioral control when a traditional tone-shock contingency was simultaneously available. The present research examined the generality of CS-US contingency dominance in a conditioned suppression paradigm by using a summation test in which "probe" stimuli derived from tone-shock contingencies were superimposed upon responding maintained by an autocontingency. In experiment 1, an inhibitory CS accelerated responding only when responding was normally suppressed by the autocontingency. In experiment 2, an excitatory CS failed to yield conditioned suppression during an inhibitory (accelerative) period produced by the autocontingency. Unlike our previous findings (e.g., Davis, Memmott & Hurwitz, 1975), these results do not support a general notion of tone-shock contingency dominance over autocontingencies. Behavioral control by autocontingencies appears robust and "holds its own" in summation with both excitatory and inhibitory CSs derived from traditional contingencies.

Animals

A slow brain stem response for low-frequency audiometry.

Proper choices of stimuli and of brain stem electric responses allow us to estimate peripheral auditory thresholds at 500, 1 000, 2 000 and 4 000 Hz with an accuracy of about +/- 10 dB. With the help of sedation (secobarbital), such audiograms may be obtained from each ear of a child of any age in a single session. Tone pips (filtered clicks) or very brief tone bursts give a frequency selectivity that is clinically adequate. The rise time must be adjusted to the center frequency. A rise time of two periods with a plateau from zero to one period gives a good compromise between frequency specificity and a synchronous neural discharge. The best threshold indicator for tone pips of 2 000 Hz or higher (or unfiltered clicks) is P6 (Jewett V). At 60 dB nHL its latency is 6.0-7.0 ms (for children of 1 year or older), but near threshold it is 8.0-9.5 ms. An input pass-band of 140-3 000 Hz is appropriate. The best threshold indicator at 500 or 1 000 Hz is a nearly neglected slower wave with a scalp-negative crest at about 10 ms following a 60-dB click. Latency is 15 ms following a 500-Hz tone pip at 15 dB SL. We call this wave "slow negative (ten)" or SN10. To see it well a wider input pass-band such as 40-3 000 Hz is needed. SN10 is usually obscured by P6 or by frequency-following response at stimulus levels above 35 dB SL. The details are given of a clinical routine that allows the determination (+/- 10 dB) of 8 threshold endpoints within about 80 min. Several precautions and limitations are discussed, and also the origin of the SN10 wave.

Audiometry