Hypertonic central nervous system complications from the viewpoint of the pathologist

Based on 2130 autopsies with a hypertension it is reported on the hypertensive CNS-lesions. The frequency of encephalomalacia was 12%. By 9.7% was founded brain haemorrhages. The relapse rate of haemorrhages was about 5%. The encephalomalacia existed by way of secondary finding in 24.7%, and the haemorrhage in 2.2%. The investigations showed an important arteriosclerosis by 39.8% in haemorrhages and by 51.6% in brain infarct. It was remarkable by the hypertensive brain haemorrhages a dominant right hemisphere.     

Results of neurophysiologic studies in ophthalmic migraine

The influence in 8 of our patients with ophthalmic migraine of photic driving with sine-like flashing lights on EEG background activity was checked and the visually evoked potentials following the application of diffused simple light stimuli were analyzed using the recovery cycle technique. The results indicate a slightly increased tonic activity of the structures of the mesencephalic formatio reticularis, such as may be produced by slight functional disturbances. Some vegetative secondary symptoms of migraine attacks and some of the changes in EEG observed in patients with ophthalmic migraine are explicable by such an abnormality.     

Test theory and psychometrika: The past twenty-five years

On the occasion ofPsychometrika's fiftieth anniversary, the past twenty-five years' developments in mental test theory are reviewed, with special emphasis on the topics receiving attention in the pages of this journal. (Analogous reviews forPsychometrika's first quarter century were given by Gulliksen and Guilford in 1961.) Much of the recent progress in test theory (and in other branches of psychometrics as well) has been made by treating the problems in this field as being essentially ones of statistical inference. It is concluded that (a) research in test theory is in a healthy state and (b)Psychometrika is an important source of information about that research.     

Interparent agreement on the Personality Inventory for Children: Are substantial correlations sufficient?

Mothers' and fathers' responses on the Personality Inventory for Children (PIC) were compared for 360 clinic-referred children and adolescents. Interparent agreement was measured by several different indices. Correlations between parental pairs of scale T-scores derived from each parent averaged .66 for 13 of the profile scales; 9 of the scales exceeded this value. In contrast, mothers and fathers agreed in the classification of the presence of clinical significance an average of 77% of the time across these 13 scales, and pairs of parental PIC profiles contained an average of 3 scales in disagreement. The type of index used to measure interparent agreement was found to affect the results. The discussion examines the nature of interparent disagreement and addresses the implications regarding the use of fathers as informants on this instrument.This article is based on Thomas A. Hulbert's master's thesis. The authors extend their appreciation to James Orisell and Dena Mussaff for their assistance in data preparation and analysis.     

Integration of noxious stimulation across separate somatosensory communications systems: a functional theory of pain

Functional measurement analyses and psychophysical techniques were used to assess how separate, cross-modal, aversive events are integrated in judgements of pain. Subjects made magnitude estimations of noxious stimuli produced by a 6 X 6 factorial design of electric shocks and loud tones. Group data and most of the individual results were consistent with a model of linear pain summation: The estimates of pain approximated the linear sum of the pain estimates of the individual electrocutaneous and auditory components. The relation between painful sensation and current intensity could be described by a mildly expansive power function with an exponent of about 1.1. Auditorily produced painful sensation related to sound pressure level by a mildly compressive power function with an exponent of about 0.90 as a representative figure. Results are interpreted in terms of a functional theory of pain. Noxious events are first transformed to psychological scale values via stimulus-specific psychophysical transfer functions. The outputs of these functions are then combined with other pain-related internal representations of either sensory or cognitive origin, according to simple algebraic models.     

Visual control of step length during running over irregular terrain

Running over uneven ground requires visually regulating step length to secure proper footing. To examine how this is achieved, we studied subjects running on a treadmill on a series of irregularly spaced targets. The movements of their lower limbs and coccyx relative to the targets were monitored opto-electronically by a Selspot system. The results indicated that step length was adjusted to strike the targets primarily by varying the vertical component of impulse applied to the ground during the stance phase. In contrast, horizontal impulse was not varied significantly, and changing the reach forward of the foot on landing contributed little to variation in step length. Changing the vertical impulse simply altered the step time proportionately. Thus the data are consistent with a time-based model in which vertical impulse is modulated by the optic variable delta tau (Lee, 1976) specifying the time gap that has to be bridged by the runner between two targets.     

Fluctuations and phase symmetry in coordinated rhythmic movements

Pendular, clocking movements typify mammalian terrestrial locomotion. They can be investigated with a procedure in which people swing hand-held pendulums at the wrists, comfortably and rhythmically. Pendular, clocking behavior was examined for in-phase and out-of-phase coordinations. The periodic timing and powering of rhythmic movements in the comfort state follow from different laws (Kugler & Turvey, 1986). One law guides the assembling of the reference frame for "clocking." Another law guides the assembling of the muscular, escapement processes determining the cycle energy. Wing and Kristofferson's (1973) method for parsing periodic-timing variance into independent "clock" and "motor" sources was applied. Mean periodicity was unaffected by phase. "Clock" fluctuations, however, were larger out of phase than in phase. "Motor" fluctuations were indifferent to phase but reflected the departures of individual wrist-pendulum systems from their preferred periods. It appears that an intended phase relation is realized as a constraint on "clock" states. These states are more stable under the in-phase constraint than under the out-of-phase constraint.     

Multidimensional scaling reveals two dimensions of thermal pain

The Individual Differences Scaling (INDSCAL) model of multidimensional scaling was used to explore the dimensions of thermal pain. The observers made 66 similarity judgments to all pairs of 12 different thermal stimulus intensities ranging from zero to noxious. Analysis of the data revealed a two-dimensional group stimulus space. The major dimension ordered the stimuli with respect to their intensity. This quantitative, strength-of-sensation dimension may be interpreted as indicating how weak or strong a stimulus feels, apart from any secondary qualities of warmth or pain. The second dimension was related to the qualitative aspects of the stimuli. This bipolar dimension contained two attributes: a pain attribute ranging from just detectable warmth to painful, and a warm-hot attribute running from just detectable warmth to hot. This study demonstrates the utility of the INDSCAL approach to the understanding of pain and offers a new technique for answering the age-old question concerning the number and qualities of the dimensions underlying the pain experience.     

Assessment of anxiety and achievement in kindergarten and first-and second-grade children

The psychometric properties of the State-Trait Anxiety Inventory for Children (STAIC) and relationships between STAIC T-Anxiety scores and standardized measures of achievement were determined for 948 kindergarten and first-and second-grade children. The T-anxiety scores of kindergarten children were lower than those of first-and second-graders. Internal consistency of the STAIC scales was higher in individual testing sessions than in small group administrations. Small but significant negative correlations were found between STAIC T-Anxiety scores and measures of school achievement. It was concluded that the STAIC is a potentially useful measure of state and trait anxiety in kindergarten through sixth-grade children, but it must be administered individually at the kindergarten and first-grade levels.The research was performed while the senior author was a senior research scientist at the Dallas Independent School District.     

Behavioral effects of sucrose on preschool children

Despite speculation that sucrose consumption affects behavior, little empirical information is available. Accordingly, this study investigated the effect of sucrose consumption on the behavior of eight preschool children. Children were tested individually using a double-blind, crossover design. On separate mornings each child received 6 ounces of juice, sweetened on one morning with sucrose and on the other with an artificial sweetener. Children were observed for 90 minutes following the drinks, alternating between 15-minute sessions of work on structured tasks and 15-minute sessions of free play. Following the sucrose drink the children showed a decrement in performance in the structured testing situation, and they demonstrated more inappropriate behavior during free play. These differences in behavior were most pronounced approximately 45 to 60 minutes after the drinks. Thus, the study provides objective evidence in young children of a rather subtle, yet significant, time-dependent behavior effect of sucrose ingestion.This research was funded in part by grants from the General Research Grants Committee, University Hospital, Boston University Medical Center, and from the University of Connecticut Research Foundation. The project was conducted at the Clinical Research Center, Massachusetts Institute of Technology (National Institute of Health/General Clinical Research Center Grant 5M01-RR00088-20). We would like to express our appreciation to the many staff members of the Clinical Research Center for their extensive cooperation in helping us to plan and carry out this study, and to the director and staff of Technology Children's Center for their assistance in helping us to reach interested families. We also would like to thank the parents and children who participated in the study. Portions of this paper were presented at the annual meeting of the American Psychological Association, Toronto, August 1984.