Consistency of Recall of Sexual and Drug-Using Behaviors for Homeless Persons with Dual Diagnosis

In this paper we present data from a study of the consistency of recall of several sexual and drug-using behaviors gathered from face-to-face interviews with homeless persons who have dual diagnosis (severe mental illness plus a substance use disorder). Factors associated with inconsistent reporting are also examined. One hundred and thirty-three individuals participating in a longitudinal study of HIV risk behaviors were recruited for a retrospective recall study. Participants were completing monthly interviews that included assessments of sexual behaviors and drug use. Participants completed an additional interview using the same instruments and were randomly assigned to a 3- or 6-month recall condition; the data from the additional interview were correlated with the regular, monthly interviews. Results indicated that reports of sexual and substance-using behaviors were generally reported consistently for both 3- and 6-month recall periods; however, coefficients for the 3-month interval were generally better than those for the 6-month interval. One exception was that protected intercourse was generally not reported consistently. Inconsistent reporting of sexual and drug-using behaviors was associated with the severity of substance abuse; inconsistent reporting of sexual behaviors was also associated with African-American race. Our data suggest that a 3-month recall interval is generally superior to a 6-month interval for persons with severe mental illness.     

Pseudoaneurysm of the Left Ventricle

Abstract: A case study is reported of a patient with rheumatoid arthritis who developed a pseudoaneurysm of the left ventricle after inferior myocardial infarction. The clinical diagnosis was confirmed by radionuclide cardiac blood pool imaging and by contrast ventricu-lography; the aneurysm was successfully excised.     

Cue and reward signals carried by monkey entorhinal cortex neurons during reward schedules

Ablation of entorhinal/perirhinal cortices prevents learning associations between visual stimuli used as cues in reward schedules and the schedule state. Single neurons in perirhinal cortex are sensitive to associations between the cues and the reward schedules. To investigate whether neurons in the entorhinal cortex have similar sensitivities, we recorded single neuronal activity from two rhesus monkeys while the monkeys performed a visually cued reward schedule task. When the cue was related to the reward schedules, the monkeys made progressively fewer errors as the schedule state became closer to the reward state, showing that the monkeys were sensitive to the cue and the schedule state. Of 75 neurons recorded in the entorhinal cortex during task performance, about 30% responded. About half of these responded after cue presentation. When the relation of the cue to the reward schedules was random, the cue-related responses disappeared or lost their selectivity for schedule states. The responses of the entorhinal cortex neurons are similar to responses of perirhinal cortex neurons in that they are selective for the associative relationships between cues and reward schedules. However, they are particularly selective for the first trial of a new schedule, in contrast to perirhinal cortex where responsivity to all schedule states is seen. A different subpopulation of entorhinal neurons responded to the reward, unlike perirhinal neurons which respond solely to the cue. These results indicate that the entorhinal signals carry associative relationships between the visual cues and reward schedules, and between rewards and reward schedules that are not simply derived from perirhinal cortex by feed-forward serial processing.