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school:SOM

Department/Unit:Child and Adolescent Psychiatry

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11181


Atypical neuroleptic malignant syndrome in an adolescent [Case Report]

Rais, Alina R; Kimmel, Sanford; Shrestha, Niranjan; Rais, Theodor B; Coffey, Barbara J
PMID: 18439120
ISSN: 1044-5463
CID: 96219

Rapid polymerase chain reaction-based screening assay for bacterial biothreat agents

Yang, Samuel; Rothman, Richard E; Hardick, Justin; Kuroki, Marcos; Hardick, Andrew; Doshi, Vishal; Ramachandran, Padmini; Gaydos, Charlotte A
OBJECTIVES: To design and evaluate a rapid polymerase chain reaction (PCR)-based assay for detecting Eubacteria and performing early screening for selected Class A biothreat bacterial pathogens. METHODS: The authors designed a two-step PCR-based algorithm consisting of an initial broad-based universal detection step, followed by specific pathogen identification targeted for identification of the Class A bacterial biothreat agents. A region in the bacterial 16S rRNA gene containing a highly variable sequence flanked by clusters of conserved sequences was chosen as the target for the PCR assay design. A previously described highly conserved region located within the 16S rRNA amplicon was selected as the universal probe (UniProbe, Integrated DNA Technology, Coralville, IA). Pathogen-specific TaqMan probes were designed for Bacillus anthracis, Yersinia pestis, and Francisella tularensis. Performance of the assay was assessed using genomic DNA extracted from the aforementioned biothreat-related organisms (inactivated or surrogate) and other common bacteria. RESULTS: The UniProbe detected the presence of all tested Eubacteria (31/31) with high analytical sensitivity. The biothreat-specific probes accurately identified organisms down to the closely related species and genus level, but were unable to discriminate between very close surrogates, such as Yersinia philomiragia and Bacillus cereus. CONCLUSIONS: A simple, two-step PCR-based assay proved capable of both universal bacterial detection and identification of select Class A bacterial biothreat and biothreat-related pathogens. Although this assay requires confirmatory testing for definitive species identification, the method has great potential for use in ED-based settings for rapid diagnosis in cases of suspected Category A bacterial biothreat agents.
PMCID:3689204
PMID: 18370996
ISSN: 1553-2712
CID: 2738062

Sustained increase in hippocampal sharp-wave ripple activity during slow-wave sleep after learning

Eschenko, Oxana; Ramadan, Wiam; Molle, Matthias; Born, Jan; Sara, Susan J
High-frequency oscillations, known as sharp-wave/ripple (SPW-R) complexes occurring in hippocampus during slow-wave sleep (SWS), have been proposed to promote synaptic plasticity necessary for memory consolidation. We recorded sleep for 3 h after rats were trained on an odor-reward association task. Learning resulted in an increased number SPW-Rs during the first hour of post-learning SWS. The magnitude of ripple events and their duration were also elevated for up to 2 h after the newly formed memory. Rats that did not learn the discrimination during the training session did not show any change in SPW-Rs. Successful retrieval from remote memory was likewise accompanied by an increase in SPW-R density and magnitude, relative to the previously recorded baseline, but the effects were much shorter lasting and did not include increases in ripple duration and amplitude. A short-lasting increase of ripple activity was also observed when rats were rewarded for performing a motor component of the task only. There were no increases in ripple activity after habituation to the experimental environment. These experiments show that the characteristics of hippocampal high-frequency oscillations during SWS are affected by prior behavioral experience. Associative learning induces robust and sustained (up to 2 h) changes in several SPW-R characteristics, while after retrieval from remote memory or performance of a well-trained procedural aspect of the task, only transient changes in ripple density were induced
PMCID:2327264
PMID: 18385477
ISSN: 1549-5485
CID: 129995

Kids and money: from piggy banks to credit cards

Gurian A
ORIGINAL:0009429
ISSN: n/a
CID: 1450142

State implementation of evidence-based practice for youths, Part I: Responses to the state of the evidence

Bruns, Eric J; Hoagwood, Kimberly Eaton
PMID: 18356704
ISSN: 0890-8567
CID: 167916

Preventive intervention for preschoolers at high risk for antisocial behavior: long-term effects on child physical aggression and parenting practices

Brotman, Laurie Miller; Gouley, Kathleen Kiely; Huang, Keng-Yen; Rosenfelt, Amanda; O'Neal, Colleen; Klein, Rachel G; Shrout, Patrick
This article presents long-term effects of a preventive intervention for young children at high risk for antisocial behavior. Ninety-two children (M age = 4 years) were randomly assigned to an 8-month family intervention or no-intervention control condition and assessed 4 times over a 24-month period. Intent-to-treat analyses revealed significant intervention effects on observed child physical aggression, and significant intervention effects found at the end of the program were maintained at follow-up for responsive parenting, harsh parenting and stimulation for learning. Parent ratings of child aggression did not show significant effects of intervention
PMID: 18470775
ISSN: 1537-4424
CID: 80612

ON MY MIND [General Interest Article]

LeDoux, Joseph E
PROQUEST:1466029371
ISSN: 1499-0679
CID: 91349

Processing of differentially valued rewards and punishments in youths with bipolar disorder or severe mood dysregulation

Rau, Geoff; Blair, Karina S; Berghorst, Lisa; Knopf, Lisa; Skup, Martha; Luckenbaugh, David A; Pine, Daniel S; Blair, Robert J; Leibenluft, Ellen
BACKGROUND: Youths with chronic irritability and hyperarousal (i.e., severe mood dysregulation, SMD) have reward- and punishment-processing deficits distinct from those exhibited by children with episodic symptoms of mania (i.e., narrow-phenotype bipolar disorder, BD). Additionally, youths with SMD, like those with psychopathy, have prominent reactive aggression. Therefore, we hypothesized that SMD, but not BD, youths would be impaired on a decision-making task that has identified reward- and punishment-processing deficits in individuals with psychopathy. METHODS: A decision-making task was used in which BD (n = 23), SMD (n = 37), and control subjects (n = 31) were asked to choose between two images associated with different levels of reward or punishment. RESULTS: No between-group differences in task performance were found. CONCLUSION: These results suggest that BD, SMD, and normal youths do not differ in their ability to select between rewards and punishments of different value. Effect-size analyses suggest that this finding is not secondary to a type II error. Unlike individuals with psychopathy, neither SMD subjects nor those with BD differ from controls in their ability to select between differentially valued rewards and punishments.
PMCID:2683389
PMID: 18439115
ISSN: 1044-5463
CID: 161908

Bullying: a global public health risk [Editorial]

Srabstein, Jorge; Leventhal, Bennett L; Merrick, Joav
PMID: 18714548
ISSN: 0334-0139
CID: 104058

Bullying and suicide. A review

Kim, Young Shin; Leventhal, Bennett
Being a victim or perpetrator of school bullying, the most common type of school violence, has been frequently associated with a broad spectrum of behavioral, emotional, and social problems. Suicide is third leading cause of mortality in children and adolescent in the United States of America and around the world. This paper provides a systematic review of the previous 37 studies conducted in children and adolescents from communities, as well as in special populations that examined the association between bullying experiences and suicide, with an emphasis on the strengths and limitations of the study designs. Despite methodological and other differences and limitations, it is increasingly clear that any participation in bullying increases the risk of suicidal ideations and/or behaviors in a broad spectrum of youth
PMID: 18714552
ISSN: 0334-0139
CID: 104059