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S A Rasmussen

Publications and source records attributed to S A Rasmussen.

88 records · Page 5Linked to original sources

Clinical characteristics and family history in DSM-III obsessive-compulsive disorder.

The authors present the clinical characteristics, demographic features, and family history of a clinical sample of 44 patients who met DSM-III criteria for obsessive-compulsive disorder. Their findings are consistent with those of previous epidemiologic studies completed before the introduction of DSM-III with regard to phenomenology, course, and demographic characteristics. Most of the 44 patients had concomitant or lifetime histories of a major depressive disorder or another anxiety disorder. A number of first-degree relatives of these patients had probable obsessive-compulsive disorder or obsessive traits. The findings of this study should prove useful in further epidemiologic, biologic, and behavioral studies.

Adolescent↗

Obsessive-compulsive disorder in dermatologic practice.

Until recently, obsessive-compulsive disorder has been thought of as a rare illness with a poor prognosis. Epidemiologic studies have found that obsessive-compulsive disorder has a lifetime prevalence rate of 2% to 3%, double that of panic disorder or schizophrenia. Many patients with primary obsessive-compulsive disorder present initially to their medical specialist. Because of the frequency of nonspecific dermatitis in compulsive hand washers, as well as the number of patients presenting with somatic obsessions, dermatologists should be familiar with this disorder. The early recognition and diagnosis of obsessive-compulsive disorder has taken on increasing importance because of the development of effective pharmacologic and behavioral treatment strategies.

Adult↗

Motor units of the primary ankle extensor muscles of the opossum (Didelphis virginiana): functional properties and fiber types.

Motor units of the medial gastrocnemius (MG) and the single lateral gastrocnemius/soleus (LG/S) muscles of the opossum (Didelphis virginiana) were found to have uniformly slow contraction times relative to homologous muscles of the cat. Though a broad range of peak tetanic tensions was found among motor units from both muscles, most of the motor units were quite large relative to tension of the whole muscle. Comparison of the relative sizes of motor units showed that those of LG/S are significantly larger and slower than the units of MG. This suggests that the motor units of the two muscles may be differentially recruited during different behaviors. All of the MG and LG/S motor units were highly or moderately resistant to fatigue. Histochemical staining for NADH-diaphorase activity indicated consistently high levels of the enzyme in all of the fibers of both muscles. Apparently, all of the fast motor units consist of fast oxidative/glycolytic (FOG)-type muscle fibers. Our data provide functional evidence that the types of myofibrillar ATPase demonstrated by Brooke and Kaiser ('70), are not necessarily correlated to physiological classification of fiber types as slow oxidative (SO), fast oxidative/glycolytic (FOG), and fast glycolytic (FG) (Peter et al., '72). Perhaps compartmentalization of muscle fiber types may be a first step in the separation of muscles into multiple heads during the evolution of specialization to diverse locomotor habits among the mammals.

Animals↗

The epidemiology of obsessive compulsive disorder.

The literature on the epidemiology and genetics of obsessive compulsive disorder (OCD) is reviewed. The application of recently developed diagnostic criteria, psychometric testing, and biologic markers to epidemiologic studies of OCD should provide important new data for increasing our understanding of the pathogenesis of the disorder. Identification of diagnostic subgroups will be important in reliably evaluating treatment response to current and new therapeutic agents. Directions for potential research in these areas are discussed.

Adolescent↗

Histochemical and physiological properties of cat motor units after self-and cross-reinnervation.

1. This report describes selected histochemical and physiological properties of the motor units of adult cat soleus muscle approximately one year after self- and cross-reinnervation with the nerve of the heterogenous flexor hallucis longus (f.h.l.). Self-reinnervated f.h.l. motor units are also considered. Whole muscles were tested for fibre reaction to alkaline pre-incubated ATPase, alpha-glycerophosphate dehydrogenase (alpha-GPD) and reduced nicotinamide adenine dinucleotide diaphorase (NADH-D). Motor units were isolated and studied by splitting the ventral root in acute preparations.2. The histochemical fibre type profile in the self-reinnervated muscle was comparable to normal muscle as was mean twitch contraction time, twitch-tetanus ratio and fatigue index. The mean tetanic tension of the soleus self- and cross-reinnervated motor units appeared close to a normal soleus whereas the mean tetanic tension of the f.h.l. self-reinnervated units was significantly less than a normal f.h.l.3. An average of 14% of the fibres of the soleus cross-reinnervated muscles had high ATPase and a alpha-GPD staining intensity in contrast to normal and self-reinnervated soleus in which such fibres are absent. Thus alkaline lability of myofibrillar ATPase increased in some fibres of what was originally a homogeneous population. The small increase in the number of densely staining fibres for ATPase at an alkaline pH (14%) was associated with a 73% decrease in (mean) contraction time (41 +/- 11 ms) of the thirty-three cross-reinnervated muscle units studied, with no unit's contraction time greater than 60 ms. Mean contraction times for the self-reinnervated soleus and f.h.l. muscles were 78 +/- 31 ms and 27 +/- 8 ms respectively.4. All fibres of the soleus cross-reinnervated muscles showed intense reaction to NADH-D, as was true of self-reinnervated soleus. This staining pattern is typical of normal soleus. In concordance, these motor units consistently demonstrated a high resistance to fatigue when stimulated for a four-minute period.5. These results suggest that in the adult self-and cross-reinnervated soleus muscle, there is some active mechanism which regulates the eventual size of motor units as reflected by tetanic tension.6. Change in contraction time from that typical for a soleus unit to that similar to an f.h.l. unit remains incomplete one year after cross-reinnervation. Within this time this partial change in single motor units reflects incomplete neural control of this property rather than a mixture of self- and foreign-innervation.7. A greater degree of independence from neural control to conversion of the histochemically demonstrated myofibrillar ATPase activity exists than is the case for contraction time.

Animals↗

Is resistance of a muscle to fatigue controlled by its motoneurones?

The original experiment of Buller et al. and the many subsequent confirmatory reports clearly show that the time-to-peak tension and many other speed-related parameters of slow and fast muscle fibres are dictated by the motoneurone. It has been concluded that the motoneurone exerts this control of the physiological and associated biochemical properties by the frequency at which it excites the muscle fibre. However, no studies have been reported on the fatigue properties and the associated biochemical characteristics after cross-reinnervation. Based on the 'size principle' of motoneurones, it would be reasonable to assume that a muscle fibre reinnervated by a small motoneurone would be active often and that this would be manifested biochemically as an elevated oxidative capacity. Also, it has been shown repeatedly that the mitochondrial content of a muscle fibre can be modified by daily endurance type exercise. Thus, it would seem that the motoneurone at least indirectly also controls the mitochondrial content of a muscle fibre by controlling the degree of activity. We have now tested this hypothesis using self- and cross-reinnervated muscles in cats. We found that fast- and slow-twitch muscles retained their characteristic fatigue resistance properties regardless of whether the nerve to which they had become connected had originally innervated a fatigue-resistant or relatively fatiguable muscle.

Adenosine Triphosphatases↗

A new hereditary cylindromatosis family associated with CYLD1 on chromosome 16.

Hereditary cylindromatosis (HC; MIM 132700) is an autosomal dominant condition characterized by benign skin appendage tumors most commonly on the scalp and face. Previously, the HC gene (CYLD1) was linked to chromosome 16q12-13, and tumors showed loss of heterozygosity (LOH), suggesting that CYLD1 is a tumor suppressor gene. Here we report a new multi-generation cylindromatosis family whose condition maps to that region, with 7/13 tumors showing LOH on 16q.

Adult↗

Insight and treatment outcome in obsessive-compulsive disorder.

To determine whether (1) insight in obsessive-compulsive disorder (OCD) improves when OCD symptoms improve, and whether (2) degree of insight in OCD predicts response to sertraline, data were obtained from five sites participating in a larger multisite study of relapse in OCD. During the first 16 weeks of the study, 71 patients received open-label treatment with sertraline and were assessed using the Yale-Brown Obsessive-Compulsive Rating Scale (Y-BOCS) and a rating scale to evaluate insight, the Brown Assessment of Beliefs Scale (BABS), at study baseline and termination. Baseline total BABS score was not significantly correlated with change in Y-BOCS score. Change in BABS total score and change in Y-BOCS total score were significantly correlated. There was no significant difference in mean endpoint Y-BOCS scores for patients with poor insight (n = 14) compared to patients with good insight at baseline (n = 57). Thus, insight improved with decrease in OCD symptom severity. Degree of insight at baseline did not predict response to sertraline, i.e., patients with poor insight were just as likely to respond to sertraline as patients with good insight.

Adult↗

Concentrations of butriptyline in biological fluids following a fatal overdose.

A fatality resulting from the ingestion of butriptyline is reported. The compound was identified by mass spectral, gas chromatographic, and Fourier transform-infrared spectroscopic analysis. Identification was confirmed with a commercially available standard. Quantitation and identification details are presented.

Adolescent↗

Tic-related vs. non-tic-related obsessive compulsive disorder.

Obsessive compulsive disorder (OCD) is a chronic condition characterized by an array of intrusive, upsetting thoughts and interfering, repetitive behaviors. Some forms of OCD may be etiologically related to Tourette's syndrome (TS). This cross-sectional study examines a range of obsessive compulsive (OC) symptoms which have been hypothesized to distinguish tic-related OCD from non-tic-related OCD. One hundred and seventy-seven patients with a primary DSM-IIIR diagnosis of OCD, aged 16 to 72, participated in the study. Patients with tic-related OCD (n = 56) reported more OC symptoms, including more aggressive, religious, and sexual obsessions as well as checking, counting, ordering, touching, and boarding compulsions than did patients with non-tic-related OCD (n = 121). Contrary to our expectation, these two groups of OCD patients did not differ with regard to the presence of "just right" phenomena or symptoms of psychasthenia. "Just right" phenomena and symptoms of psychasthenia, however, were both found to be associated with the current severity of OC symptoms.

Adult↗