Saccadic distractibility in cocaine dependent patients: a preliminary laboratory exploration of the cocaine-OCD hypothesis.

Epidemiologic Cachment Area Survey (ECAS) results suggest that cocaine abusing patients are at increased risk for the later development of Obsessive Compulsive Disorder (OCD), and a need for attention in laboratory and clinical research to the 'cocaine-OCD hypothesis' has been described. Analysis of the ECAS data, however, could not rule out the possibility of a 'distinctive OCD-like syndrome' related to cocaine use. Such an OCD-like syndrome in cocaine dependent individuals has been recently described, where some cocaine dependent patients compulsively forage for cocaine, especially after a cocaine binge. To further explore a possible relationship between cocaine dependence and OCD, the performance on an antisaccade task of 32 cocaine dependent individuals was compared to a group of 15 individuals without neuropsychiatric or substance abusing histories. OCD patients have been described as having a greater frequency of reflexive glances (i.e., increased saccadic distractibility) during the antisaccade task than normals. No statistically significant differences in antisaccade performance were observed between the cocaine dependent patients and a normal comparison group. However, when the cocaine using group was divided into those endorsing and those not endorsing significant cocaine-induced compulsive foraging, statistically significant differences emerged. Cocaine-induced compulsive foragers had the poorest antisaccade performance. While the small sample sizes and the lack of an OCD control group limit the conclusions that can be drawn from the present study, the results seem to suggest that a cocaine-OCD link might be particularly relevant for those cocaine addicts endorsing compulsive foraging.

L-tyrosine pharmacotherapy of schizophrenia: preliminary data.

The utility of L-tyrosine (10 g/day in four divided doses) as an adjuvant to molindone (150 mg/day) in the treatment of schizophrenia was investigated using a placebo-controlled, double-blind crossover design (3 weeks on L-tyrosine, 3 weeks on placebo). The objective of this inpatient study was to increase dopaminergic neural transmission along mesocortical projections in patients by increasing the precursor availability of L-tyrosine for dopamine biosynthesis. Theoretically, this approach might lessen both negative and positive symptoms of schizophrenia and improve frontal lobe-mediated neuropsychological performance. There was no evidence of statistically significant improvement conferred by L-tyrosine as measured by weekly Brief Psychiatric Rating Scale (BPRS), Schedule for the Assessment of Negative Symptoms (SANS), or Clinical Global Impressions (CGI) scales. The 12-h trough plasma level of L-tyrosine was significantly higher in all patients during the L-tyrosine phase of the study (t = -3.9, df = 20, p = 0.0009). At the end of each 3-week study period, no significant differences could be found in Wisconsin Card Sorting Test (WCST) or memory test performance. Smooth-pursuit eye movement (SPEM) performance had significantly more saccadic intrusions during the L-tyrosine supplementation phase compared to the placebo period. This increase in saccades during SPEM suggests that the tyrosine supplementation might have had some central effect.

Mechanical and bond strength properties of light-cured and chemically cured glass ionomer cements.

The purpose of this study was to evaluate the mechanical and bond strength properties of a commercially available light-cured glass ionomer cement and of a chemically cured glass ionomer cement. Sixty recently extracted human molars were randomly divided into six equal groups, and the bond strengths of the two cement types were evaluated at 1 hour, 24 hours, and 7 days. Stainless steel lingual buttons were bonded to prepared enamel surfaces, and the samples were placed in a water bath at 37 degrees C until testing. The shear bond strength of each sample was determined with a universal testing instrument. The mechanical strength properties of the two cements were then evaluated. The transverse flexural strength, compressive strength, rigidity, and diametral tensile strength were tested for each cement at 1 hour, 24 hours, and 7 days. The results of the mechanical property strength tests were then compared with the results of the bond strength tests.(ABSTRACT TRUNCATED AT 250 WORDS)

Infection control of field dental units.

The need for infection control procedures exists for dental care provided outside of dental treatment facilities. In a wartime scenario or during military training exercises, traditional dental clinic settings may not be available and the dental officer will be required to treat patients using equipment provided by the Army's Table of Organization and Equipment. This article reviews the dental literature and makes recommendations to aid the dental officer in developing an infection-control protocol for field dental equipment.

An intraoral surveyor.

A device is described for checking tooth preparations of abutment teeth for fixed or removable partial dentures. The device quickly and accurately indicates the planned path of insertion of the prosthesis intraorally, serves as a visual guide during the preparation of teeth, and aids the dentist in evaluating tooth preparations before making a final impression. This intraoral surveyor provides an inexpensive, practical, and readily available method for producing optimal tooth preparations for fixed and removable partial dentures.