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991.
Hypnosis has been of value in providing investigative direction and, in the cases described, has led to the solutions of major crimes. The present authors have described the methodology of our team approach which was used in 23 cases comprised of 53 witnesses. New information was developed in more than 60% of the cases utilizing hypnosis. Although only a small amount of this information was corroborated, that which was corroborated became admissible in the courts and led to convictions. The disadvantages in using hypnosis are that memory recall may be distorted by the method or it may be inaccurate and misleading. These drawbacks, however, also exist at non-hypnotic levels. Such data, therefore, always must be analyzed by careful investigation for their veracity. An overview of die results achieved in utilizing hypnosis in criminal investigation indicates that it is worthy of being employed, and that investigative personnel can work comfortably with professionals in an investigative setting. The present authors have described the guidelines we employed for the use of hypnosis in criminal investigation by the FBI. We also have discussed the safeguards to be taken and some of the pitfalls commonly encountered in our work. Complexities of law enforcement operations today demand imaginative approaches to investigative problems. When hypnosis is used by trained interviewers under the direction of qualified professionals with due regard for its limitations and guidelines, hypnosis can provide a new resource and must no longer be ignored as a viable, scientific, investigative tool.  相似文献   
992.
Hypnotically implanted paramnesias (false memories) designed to arouse Oedipal and non-Oedipal sexual conflicts were implanted in 2 groups of male undergraduate Ss. Ss in a third condition were hypnotized but no paramnesia wasm implanted. In a fourth condition, the Oedipal paramnesia was presented to Ss who had been instructed by coexperimenters to simulate hypnosis. All Ss had achieved a score of 7 or higher on the Harvard Group Scale of Hypnotic Susceptibility, Form A (Shor & E. C. Orne, 1962). Following implantation of the paramnesia, Ss were given conflict activating instructions consisting of posthypnotic suggestions to express strong sexual feelings in response to cue words contained in the paramnesias. Ss in all conditions produced significantly more symptoms of discomfort to cue words than to neutral words. No significant between-group differences were found. These results question the contention that discomfort following the implantation of an Oedipal paramnesia constitutes empirical support for psychoanalytic theory.  相似文献   
993.
The implications of Dr. Spiegel's findings with a standardized singlesession technique are discussed. Despite the inevitable tentativeness of conclusions-since somewhat less than half of the patients answered a follow-up questionnaire-the results are encouraging. The question is raised whether those patients who did not respond to treatment initially might respond to an analogous, although superficially dissimilar, approach with another effective therapist.  相似文献   
994.
Pressure and volume overload results in concentric and eccentric hypertrophy of cardiac ventricular chambers with, respectively, parallel and series replication of sarcomeres. These divergent patterns of hypertrophy were related 40 years ago to disparate wall stresses in both conditions, with systolic wall stress eliciting parallel replication of sarcomeres and diastolic wall stress, series replication. These observations are relevant to clinical practice, as they relate to the excessive hypertrophy and contractile dysfunction regularly observed in patients with aortic stenosis. Stress-sensing mechanisms in cardiomyocytes and activation of cardiomyocyte death by elevated wall stress continue to intrigue cardiovascular scientists.  相似文献   
995.
The DNA-dependent protein kinase catalytic subunit (DNA-PKcs; encoded byPRKDC) functions in DNA non-homologous end-joining (NHEJ), themajor DNA double strand break (DSB) rejoining pathway. NHEJ also functions duringlymphocyte development, joining V(D)J recombination intermediates during antigenreceptor gene assembly. Here, we describe a patient with compound heterozygousmutations in PRKDC, low DNA-PKcs expression, barely detectableDNA-PK kinase activity, and impaired DSB repair. In a heterologous expression system,we found that one of the PRKDC mutations inactivated DNA-PKcs, whilethe other resulted in dramatically diminished but detectable residual function. Thepatient suffered SCID with reduced or absent T and B cells, as predicted fromPRKDC-deficient animal models. Unexpectedly, the patient was alsodysmorphic; showed severe growth failure, microcephaly, and seizures; and hadprofound, globally impaired neurological function. MRI scans revealedmicrocephaly-associated cortical and hippocampal dysplasia and progressive atrophyover 2 years of life. These neurological features were markedly more severe thanthose observed in patients with deficiencies in other NHEJ proteins. Although loss ofDNA-PKcs in mice, dogs, and horses was previously shown not to impair neuronaldevelopment, our findings demonstrate a stringent requirement for DNA-PKcs duringhuman neuronal development and suggest that high DNA-PK protein expression isrequired to sustain efficient pre- and postnatal neurogenesis.  相似文献   
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998.
Research is proving that the effects of various mediators and changes in microcirculation bring about the cellular and metabolic consequences recognized clinically as shock. In this article, the authors approach diagnosis and treatment of the different types of shock through evaluation of hemodynamic variables. They summarize underlying causes of shock, the signs of its progressive stages, and diagnostic studies needed to guide treatment decisions.  相似文献   
999.
The Editor welcomes readers' comments, and selected letters are published each month. Letters must be signed and should be sent to Editor's Mail at the address shown. The journal reserves the right to condense letters if necessary for space.  相似文献   
1000.
Radical vulvectomy with bilateral en bloc lymph node dissection results in an absolute cure rate of more than 50 percent among patients with vulval carcinoma. Although opinions differ as to the necessary extent of the operative procedure, the less extensive approach gives a satisfactory cure rate and a lower incidence of severe postoperative morbidity or mortality.  相似文献   
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