Older and younger patients with substance use disorders: Outpatient mental health service use and functioning over a 12-month interval.

This observational study compared a nationwide sample of older patients with substance use disorders (n = 3,598; age > 55) with a demographically and diagnostically matched sample of younger patients on initial functioning, subsequent outpatient mental health service use, and 12-month follow-up outcomes. Older patients were initially functioning as well as or better than younger patients according to substance use, psychiatric, family, and legal criteria. The groups received comparable amounts of outpatient mental health care. At a 12-month follow-up, older patients generally had better substance use and functioning outcomes than did younger patients. The findings suggest that older patients with substance use disorders are keeping pace with demographically and diagnostically comparable younger patients in obtaining specialized outpatient mental health services and that they have positive treatment prognoses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An optimal method for the solution of the constrained eigenvalue/response problem for large structures comprising rigidly-connected substructures

Dynamic substructuring or modal synthesis is established as a powerful means by which the computational effort required to perform dynamic analyses of large structures comprising many degrees of freedom can be reduced. For the case where the substructures are rigidly connected a method of synthesis is proposed which gives very substantial improvements in efficiency over existing methods both in terms of the number of floating-point operations which must take place and the on-board computer memory required. The proposed method makes use of a stable co-ordinate transformation which reduces the mass matrix for the constrained composite-system to the identity matrix and makes the stiffness matrix banded. The bandwidth is exactly equal to twice the total number of constraints plus 1. This is usually very small in comparison with the total number of degrees of freedom in the constrained composite-system. The proposed method is ideal for combining a number of substructures into a single new substructure in an efficient way without necessarily disposing of any degrees of freedom. Approximate formulae are presented which give the ratios of the number of operations required for established methods compared with the number needed for the proposed method. These formulae determine when it is appropriate to use the method proposed here.     

Increases in Calls to the CDC National STD and AIDS Hotline Following AIDS-Related Episodes in a Soap Opera

In the United States, minority women are at risk of HIV infection and comprise a disproportionate share of daytime soap opera viewers. In August 2001, a soap opera subplot delivered HIV prevention messages to viewers and displayed the National STD and AIDS Hotline's toll-free number (800–342–2437) after 2 episodes. On both days, the number of attempted calls to the Hotline in the 1-hour time slots during and just after the 30-minute broadcasts rose dramatically. These increases in information-seeking behavior are consistent with predictions based on social cognitive theory, the health belief model, and various models of information processing. The increases also provide support for the Education-Entertainment approach and underscore the importance of a productive partnership between public health and the entertainment industry.     

"Approach and avoidance coping responses among older problem and nonproblem drinkers": Clarification.

Reports a clarification in the article by R. H. Moos et al (Psychology and Aging, 1990[Mar], Vol 5[1], 31–40). The authors wish to note that research reported in the article by P. L. Brennan and R. H. Moos (see record 1991-10154-001) was based on the sample used in the research reported by Moos et al and that this information was inadvertently deleted in the Brennan and Moos article. (The following abstract of the article by Moos et al originally appeared in PA, Vol 77:14961.) The Coping Responses Inventory (CRI) was used to study coping among older problem and nonproblem drinkers. The CRI organizes coping efforts according to their focus (approach or avoidance) and method (cognitive or behavioral). Compared with nonproblem drinkers, older problem drinkers were more likely to use cognitive and behavioral avoidance responses to manage life stressors. Problem drinkers who experienced more negative life events and more severe stressors used both more approach and more avoidance coping. Those who had more financial and social resources relied more on approach and less on avoidance coping. Problem drinkers who relied more on avoidance coping tended to have more drinking problems and to report more depression and physical symptoms and less self-confidence. Positive reappraisal was associated with less depression and more self-confidence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sustained and sustaining continuing education for therapists.

Thirty-eight therapists who completed a 2-year continuing education program evaluated the effect of that program on how they conducted therapy and on themselves as individuals. The program differed from most continuing education offerings both in its ongoing nature and its emphasis on an interactive and dynamic use of material rather than on a purely didactic presentation. Participants described changes that they felt improved the quality of the therapeutic alliance, increased their ability to work effectively with difficult patients, and increased their self-awareness. This evaluation of the experience of a mature (over 10 years in operation) program is significant at a point when American Psychological Association (APA) is considering a broader conceptualization of continuing education models. These results also illustrate the importance of thoroughly evaluating the effect of continuing education. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Vernier and grating acuity in adult hooded rats: The influence of sex.

Although morphological sex differences are pervasive in the primary visual cortex of hooded rats, it is not known whether sex differences occur in vision in these rats. In this study, grating acuity was measured in a forced-choice Y maze and a jumping stand in adult hooded rats, and vernier acuity thresholds were established in the jumping stand. With a criterion of 34 correct/50 trials, the number of correct choices for both sexes was high (1.0–1.6 cycles per degree [c/deg]) for spatial gratings. Female rats made more correct identifications of the coarse gratings (0.125 and 0.25 c/deg) than male rats, but no sex differences were found for higher spatial frequencies. In contrast, male rats were better at detecting smaller vernier offsets in both the individual criterion and group averages than female rats, and all of the rats detected vernier misalignments at 34.1 min (equivalent to 1.75 c/deg), which is above their grating acuity. Vernier acuity may mirror some sex differences in visual cortex anatomy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reducing saturated fat intake is associated with increased levels of LDL receptors on mononuclear cells in healthy men and women

1. Previous studies in our laboratory have shown that the synthetic xanthine analogue denbufylline, a selective type 4 phosphodiesterase (PDE-4) inhibitor, is a potent activator of the hypothalamo-pituitary-adrenal (HPA) axis when given orally or intraperitoneally (i.p.) to adult male rats. This paper describes the results of experiments in which well established in vivo and in vitro methods were used to compare the effects of denbufylline on HPA function with those of two other selective PDE-4 inhibitors, rolipram and BRL 61063 (1,3-dicyclopropylmethyl-8-amino-xanthine). For comparison, parallel measurements of the immunoreactive- (ir-) luteinising hormone (LH) were made where appropriate. 2. When injected intraperitoneally, rolipram (40 and 200 micrograms kg-1, P < 0.005), denbufylline (0.07-0.6 microgram kg-1, P < 0.05) and BRL 61063 (30 micrograms kg-1, P < 0.005) each produced marked rises in the serum ir-corticosterone concentrations. However, lower doses of rolipram (1.6 and 8 micrograms kg-1) and BRL 61063 (0.25-6 micrograms kg-1) were without effect (P > 0.05). By contrast, intracerebroventricular (i.c.v.) injection of rolipram (8 ng-1 micrograms kg-1) or denbufylline (50 ng-1 microgram kg-1) failed to influence the serum ir-corticosterone concentration. BRL 61063 (8-120 ng kg-1, i.c.v.) was also ineffective in this regard although at a higher dose (1 microgram kg-1, i.c.v.) it produced a small but significant (P < 0.05) increase in ir-corticosterone release. Denbufylline also increased the serum ir-LH concentration when given peripherally (0.2-0.6 microgram kg-1, i.p., P < 0.05) or centrally (100 ng kg-1, i.c.v., P < 0.05) but rolipram (1.6-200 micrograms kg-1, i.p. or 8 ng-1 microgram kg-1, i.c.v.) and BRL 61063 (0.25-30 micrograms kg-1, i.p. or 1 ng-1 microgram kg-1, i.c.v.) did not (P > 0.05). 3. In vitro rolipram (10 microM, P < 0.01), denbufylline (1 mM, P < 0.001) and BRL 61063 (1 and 10 microM, P < 0.05) stimulated the release of corticotrophin releasing hormone (ir-CRH-41) but lower concentrations of the drugs were without effect as also was BRL 61063 at 100 microM (P > 0.05); the rank order of potency was thus BRL 61063 > rolipram > denbufylline. The adenylyl cyclase activator forskolin (100 microM, P < 0.01) also stimulated the release of ir-CRH-41, producing effects which were additive with those of rolipram and denbufylline but not with those of BRL 61063. The secretory responses to forskolin (100 microM) were accompanied by a highly significant increase in the cyclic AMP content of the hypothalamic tissue (P < 0.005). Rolipram (10 microM) also significantly (P < 0.05) elevated the hypothalamic cyclic AMP but denbufylline (10 mM) and BRL 61063 (10 microM) did not. However, all three PDE-inhibitors potentiated the rise in cyclic AMP induced by forskolin (P < 0.05). None of the drugs tested, alone or in combination, modified the release of arginine vasopressin (ir-AVP) from the hypothalamus. 4. Rolipram (100 microM), denbufylline (100 microM) and BRL 61063 (100 microM) stimulated the release of corticotrophin (ir-ACTH) from pituitary tissue in vitro (P < 0.05) but in lower concentrations they were without significant effect. In addition, rolipram (10 microM, P < 0.05), denbufylline (0.1 microM, P < 0.05) and BRL 61063 (10 microM, P < 0.05) potentiated the significant (P < 0.05) rises in ir-ACTH secretion induced by forskolin (100 microM). Forskolin (100 microM) also produced a highly significant increase (P < 0.01) in the tissue cyclic AMP content which was further potentiated by rolipram (10 microM), denbufylline (10 microM) and BRL 61063 (10 microM) which, alone did not affect the cyclic AMP content of the tissue. 5. Since both denbufylline and BRL 61063 possess significant adenosine A1 receptor blocking activity, further studies examined the potential influence of these receptors on the secretion in vitro of CRH-41, AVP and ACTH. The release of ir-CRH-41 was increased significantly by adenosine deaminase (ADA, 5microml-1, P<0.05) and the A1-receptor antagonist, 1,3-dicyclopropyl-8-cyclopentylxanthine (DPCPX, 0.1-10nM, P<0.05). The responses to ADA were abolished by the A1 receptor agonist N6-cyclo-hexyladenosine (CHA, 100nM, P<0.05) which alone had no significant effect on ir-CRH-41 release. ADA (0.1-10microml-1) and DPCPX (1nM) had weak stimulant and inhibitory effects, respectively, on the release of ir-ACTH from the pituitary gland while CHA (0.1-10nM) was without effect. Ligand binding studies with [3H]-DPCPX as a probe demonstrated the presence of specific high affinity A1 binding sites in the hypothalamus (Kd=0.7nM; Bmax=367+/-32fmolmg-1 protein) and in the hippocampus (Kd=1nM; Bmax=1165 +/-145fmolmg-1 protein). In both tissues binding of the ligand was displaced by CHA (IC50=1nM (hypothalamus) and 2nM (hippocampus)), BRL 61063 (IC50=80nM (hypothalamus) and 100nM (hippocampus)) and denbufylline (IC50=5microM (hypothalamus) and 9microM(hippocampus)) but not by rolipram. 6.The results suggest that rolipram, denblufylline and BRL 61063 stimulate the HPA axis in the rat, acting at the levels of both the hypothalamus and the pituitary gland. Their actions may be explained, at least in part, by inhibition of PDE-4 but additional actions including blockade of hypothalamic adenosine A1 receptors by denbufylline and BRL 61063 cannot be excluded.     

Semantic priming during sentence processing by young and older adults.

Examined semantic processing of sentences by 30 younger (mean age 25.1 yrs) and 30 older (mean age 68.5 yrs) adults, using a priming technique. Ss read a sentence and then made a lexical decision about a target presented immediately after the sentence. For both age groups, word targets that were instruments implied by the action of the sentence had faster latencies than unrelated word targets. There was no evidence of inhibition of unrelated targets, suggesting that the facilitation of instrument targets involved automatic processes. Results provide no evidence for age-related changes in semantic processing of sentences, including access to implied information. Older Ss did, however, have poorer memory for the sentences on a recognition test. It is suggested that previous findings by G. Cohen (see PA, Vols 63:747 and 67:958) of age deficits in comprehension may depend on techniques that measure what is remembered rather than what is understood. (35 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Fetal echocardiography

From a research programme comparing two photorefractive keratectomy (PRK) methods, Group S using Summit ExciMed UV 200, and Group V using the VisX 20:20 excimer laser system, 10 patients from each group were recruited. They were referred 6-12 months post-PRK for lens fitting to correct resultant ametropia or irregular astigmatism. Ablation zone diameters were: Group S, 4.5 mm; Group V, 4-6 mm. For Group S, best fit rigid gas permeable (RGP) lenses generally had a back optic zone radius (BOZR) 0.10 mm steeper than the mean keratometry reading (K) and overall diameter of 9.20-10.0 mm. For Group V best fit RGP lenses generally had a BOZR of 0.20 mm steeper than the mean K. The lenses often required large diameters to improve lens centration and extra negative power to compensate for the positive power of the central tear pool. Several patients required soft lens fitting to improve comfort and some finally opted for repeat PRK.