A review of patient outcomes in pharmacological studies from the psychiatric literature, 1966–1993

A literature search was conducted on studies of new drugs used with patients with schizophrenia reported by U.S. and non-U.S. researchers from 1966–1993, yielding 41 U.S., and a total of 24 other non-U.S. studies, among them 11 British studies. Results of the U.S. and non-U.S. studies were pooled separately and compared. Among several comparable conditions discussed, the lack of any data on suicides in the U.S. studies was observed. For a second statistical analysis of suicide rates ‘person-years’ were calculated to adjust for differing washout durations. The results obtained include findings that the percentage of patients relapsing in U.S. studies was slightly lower (37.9%) than in non-U.S. studies (46%); the percentage of patients dropping out in U.S. studies (10.5%) was higher than in non-U.S. studies (7.6%); known location of dropout patients in U.S. studies was 1.7%, compared to 2.6% in non-U.S. studies. The most interesting finding was that no suicides were reported in U.S. studies, compared to 0.6% of patients reported in British studies. Some U.S. studies used ‘challenge doses’, such as amphetamines or L-dopa; no non-U.S. studies reported their use. Compared to U.S. studies, those by non-U.S., and particularly British, researchers appeared to report adverse events in their studies. ‘Challenge’ drugs were not used; suicides were reported. It is estimated that the probability that no patients suicided who participated in the U.S. is small—one in 500.     

古突厥碑铭中提到的中国和吐蕃

古突厥碑铭中提到的中国和吐蕃沃尔夫冈—埃克哈特·夏利普著欣慰译古突厥碑铭大体上写于８世纪初和９世纪中叶之间,是一种突厥语的最初证明,碑文包括占统治地位的突厥人［１］和后来的回纥人———他们也说突厥语———与居住在他们的ｅｌ———即他们的草原帝国———...     

The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.     

Sexuality education and young people's sexual behavior: a review of studies

Sexuality education for children and young adults is one of the most heavily debated issues facing policy-makers, national AIDS program planners, and educators, provoking arguments over how explicit education materials should be, how much of it there should be, how often it should be given, and at what age instruction should commence. In this context, the World Health Organization's Global Program on AIDS' Office of Intervention Development and Support commissioned a comprehensive literature review to assess the effects of HIV/AIDS and sexuality education upon young people's sexual behavior. 52 reports culled from a search of 12 literature databases were reviewed. The main purpose of the review is to inform policy-makers, program planners, and educators about the impact of HIV and/or sexuality education upon the sexual behavior of youth as described in the published literature. Of 47 studies which evaluated interventions, 25 reported that HIV/AIDS and sexuality education neither increased nor decreased sexual activity and attendant rates of pregnancy and sexually transmitted diseases (STDs). 17 reported that HIV and/or sexuality education delayed the onset of sexual activity, reduced the number of sex partners, or reduced unplanned pregnancy and STD rates Only 3 studies found increases in sexual behavior associated with sexuality education. Inadequacies in study design, analytic techniques, outcome indicators, and the reporting of statistics are discussed.     

The effects of periodic visual occlusion on ball catching

Four experiments were conducted to examine the effects of periodic visual occlusion on one-handed ball catching. Tennis balls were projected one at a time over distances of 8-12 m, and liquid-crystal visual occlusion spectacles provided intermittent vision by opening and closing the lens shutters at different frequencies. As well as frequency, we manipulated duty cycle, or the proportion of time that the lenses were open. Generally, catching performance deteriorated as frequency was reduced. Although longer visual samples (i.e., increased duty cycle) mediated this effect to some extent, the most potent variable was the time between visual samples; performance deteriorated rapidly when this interval was greater than 80 ms (i.e., 10 Hz with 20-ms lens open times). Presumably this occurred because subjects had difficulty integrating visual information separated by longer temporal intervals.     

Partial visual feedback and spatial end-point accuracy of discrete aiming movements

Five experiments are reported in which the effect of partial visual feedback on the accuracy of discrete target aiming was investigated. Visual feedback was manipulated through a spectacle-mounted liquid-crystal tachistoscope. The length of the visual feedback interval was varied as a percentage of the instructed movement time. In Experiment 1, the length of the vision interval was manipulated symmetrically at the beginning- and end-phase of the movement, whereas in the remaining experiments, the vision time was varied with respect to the end-phase only. The variations at the end were examined for different distances (Experiment 2), different movement speeds at the same distance (Experiment 3), and in small interstep intervals (Experiment 4). A vision time of more than 150 ms at the end-phase of the movement enhanced aiming performance in all experiments. Longer vision times monotonously improved aiming accuracy; the fifth experiment showed that a vision time of about 275 ms was sufficient for near-perfect aiming. Furthermore, the significance of vision during the first phase of a movement was demonstrated again. The results of the five experiments pointed to shorter visuomotor processing times. To explain the beneficial effects of short vision times for aiming accuracy, we propose a model of visuomotor processing that is based on the stochastic optimized submovement model of Meyer, Abrams, Kornblum, Wright, and Smith (1988).