Brain mechanisms in fatal cardiac arrhythmia

Intravenous injection of histamine to rabbits was used as a prototype in an investigation of the mechanism of sudden death due to anaphylaxis and other causes. The “dive” reflex, bradycardia due to activation of the ophthalmic branch of the fifth cranial nerve, was induced in thirty-seven of the animals while they inhaled a very small amount of cigarette smoke. Associated with the resulting bradycadia were lowered blood pH and increased serum content of lactic acid and potassium and increased peripheral arterial constriction with elevation of diastolic blood pressure. Intravenous injection of 1 ml of histamine in the presence of the dive reflex induced potentially fatal ventricular arrhythmia, but no cardiac disturbance when administered while the dive reflex was inactive, thereby strongly suggesting that sudden death in anaphylaxis may involve an overzealous response to a normally protective neural reflex.     

Inattentive and noninattentive ADHD children: Do they constitute a unitary group?

Teacher-rated ADHD and normal control children were administered a continuous performance test (CPT), and were then further subdivided based upon the presence or absence of objectively assessed attentional deficits. In addition, children were assessed using several measures of cognitive and behavioral functioning. Attentional deficits were signficantly more prevalent among the ADHD group, but about half of the ADHD children showed no evidence of objectively assessed attentional dysfunction. Further group analyses indicated that ADHD children with objectively assessed attentional dysfunction appeared cognitively impaired, while ADHD children without objective evidence of attentional dysfunction had more conduct problems. CPT inattention was not related to the presence of cognitive impairments or conduct problems in the control group. These data must be considered preliminary because teacher ratings were the only source of diagnosis and a single measure of inattention was used. However, they suggest that two subtypes of ADHD children can be identified, one characterized by inattention and learning problems, and the other by conduct problems.The authors gratefully acknowledge the assistance of Sister Hildegard Kogler and the St. Francis DeSales School, and the parents and children who participated in this study.     

Vibration-Induced Kinesthetic Illusions and Corticospinal Excitability Changes

The authors' aim was to investigate the changes of corticospinal excitability during kinesthetic illusions induced by tendon vibration. Motor-evoked potentials in response to transcranial magnetic stimulation were recorded from the vibrated flexor carpi radialis and its antagonist, extensor carpi radialis. The illusions were evoked under vision conditions without feedback for the position of the wrist (open or closed eyes). In these two conditions motor-evoked potential changes during vibration in the antagonist were not identical. This discrepancy may be a result of 2 simultaneously acting, different and opposite influences and the balance between them depends on visual conditions. Thus, the illusion was accompanied by the facilitation of corticospinal excitability in both vibrated muscle and its antagonist.     

How Parental Support During Homework Contributes to Helpless Behaviors Among Struggling Readers

This research investigated the influence of parental practices on helpless behaviors of struggling readers during homework tasks. Parents (N = 36) of elementary students reported on their children's helpless behaviors, such as task avoidance and negative affect, during homework assignments, and on the nature and frequency of their support. Distinctions were made between parental support considered to be strategic, compensatory, or intrusive. Additional variables that influence achievement behaviors were assessed, including children's language skills, academic abilities, and behavior regulation. Parent support considered intrusive, such as unsolicited interruptions and corrections, along with children's behavior regulation abilities, accounted for the greatest variation in struggling readers' helpless behaviors.     

Thyroid chondroplasty: Smoothing the thyroid cartilage— A retrospective study of thyroid chondroplasty for feminine neck appearance

Background: Thyroid chondroplasty is a surgical intervention for reduction of the Adam's apple, performed in trans women to achieve a more feminine appearance of the neck. This procedure is necessary since hormonal therapy given as part of gender affirming medical interventions has no effect on the mature larynx.

Objectives: We aim to describe our thyroid chondroplasty surgical technique and outcome of all thyroid chondroplasties performed during the study period.

Methods: A retrospective chart review of all thyroid chondroplasty procedures performed in a tertiary referral center between 2006 and 2015. Patients' clinical characteristics and surgical outcome were recorded and analyzed.

Results: Twenty-seven trans women underwent thyroid chondroplasty in our institution. Post-operative complications included a single patient who suffered from false vocal fold (ventricular folds) hematoma that resolved spontaneously. Five other patients had an erythematous scar. No other complications were observed.

Conclusion: Thyroid chondroplasty is a safe procedure for achieving a feminine neck contour in trans women.     

Local probability effects of repeating irrelevant attributes

We present two experiments in which participants classify stimuli having two potentially conflicting attributes, one of which is response-relevant whereas the other (“irrelevant”) attribute is logically and statistically independent of the response. We introduce a novel design not used with filtering tasks before in which the main factor is the local (i.e., one-step) transition probability π (= 0.25, 0.50, 0.75) that the irrelevant attribute is repeated from one trial to the next. Experiment 1 involved a visual Simon task in which the color of the stimulus is relevant and its location is irrelevant. Experiment 2 used a semantic classification task in which the parity of a digit presented is relevant and its numerical magnitude is irrelevant. The results of both experiments demonstrate that participants in the π = 0.75 group responded faster when the irrelevant attribute is in fact repeated rather than alternated; in contrast, participants in the π = 0.25 group responded faster (Experiment 1) or equally fast (Experiment 2) when the irrelevant attribute is alternated rather than repeated. These expectancy-related effects cannot be attributed to spurious design contingencies as the irrelevant attribute was independent of the relevant attribute (and thus of the response), of the congruency status, and also of their alternation/repetition. One interpretation of our findings is that information about the irrelevant attribute in the previous trial is used much as an informative central precue, so that participants can prepare early processing stages in the current trial, with the corresponding benefits and costs typical of standard cueing studies.     

Introduction

This introduction presents the extension of Freud's instinct theory via Kohut's theory of narcissism and the self to an application of the combined theories to the political group violence racking the world scene.