3 research outputs found

    The heat shock stress response after brain lesions: Induction of 72 kDa heat shock protein (cell types involved, axonal transport, transcriptional regulation) and protein synthesis inhibition

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    The cerebral stress response is examined following a variety of pathological conditions such as focal and global ischemia, administration of excitotoxins, and hyperthermia. Expression of 72 kDa heat shock protein (Hsp70) and hsp70 mRNA, the mechanism underlying induction of hsp70 mRNA involving activation of heat shock factor 1, and inhibition of cerebral protein synthesis are different aspects of the stress response considered here. The results are compared with those in the literature on induction, transcriptional regulation, expression, and cellular location of Hsp70, with a view to getting more insight into the function of the stress response in the injured brain. The present results illustrate thai Hsp70 can be expressed in cells affected at various degrees following an insult thai will either survive or die as the brain lesion develops, depending on the severity of cell injury. This indicates that, under certain circumstances, synthesized Hsp70 might be necessary but not sufficient to ensure cell survival. Other situations involve uncoupling between synthesis of hsp70 mRNA and protein, probably due to very strict protein synthesis blockade, and often result in cell loss. Cells eventually will die if protein synthesis rates do not go back to normal after a period of protein synthesis inhibition. The stress response is a dynamic event that is switched on in neural cells sensitive to a brain insult The stress response is, however, tricky, as affected cells seem to need it, have to deal transiently with it, but eventually be able to get rid of it, in order to survive. Putative therapeutic treatments can act either selectively, potentiating the synthesis of Hsp70 protein and recovery of protein synthesis, or preventing the stress response by deadening the insult severity.Supported by grants from the “Fondo de Investigaciones Sanitarias” (96-2187 and 97-0490). Author MAS has a fellowship from the Spanish Ministry of Education and SciencePeer Reviewe

    Pseudohallucinations in an Adolescent: Considerations for Diagnosis and Treatment in the Case of "Kate"

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    Hallucinations are usually considered a hallmark of severe psychopathology, most commonly psychotic or thought disorders such as schizophrenia or other organic brain syndromes. However, several studies describe '"non-psychotic hallucinations" occurring in children and adolescents who experience hallucinations without other core symptoms of true psychosis, such as the presence of a thought disorder, disorganized behavior, and pervasive dysfunction. Some authors describe the controversial subject of "pseudohallucinations," which appears to be more representative of conversion disorder symptoms rather than psychotic symptoms. We present a case of "Kate," a 16-year-old adolescent female who required psychiatric hospitalization for auditory hallucinations with secondary delusional thinking. She was initially given a diagnosis of psychotic disorder, not otherwise specified (NOS), and treated with an antipsychotic and an antidepressant. At outpatient follow-up, although Kate continued to endorse hallucinations and delusional thinking, her symptoms were not felt to be part of a true psychotic disorder. The hallucinations could be viewed as a product of extreme anxiety; a diagnosis of generalized anxiety disorder (GAD) was made, and Kate was maintained on the antidepressant and antipsychotic medications. However, this did not entirely explain Kate's symptoms. The consideration of "pseudohallucinations" as conversion disorder symptoms in the form of psychiatric symptoms was key to making an accurate diagnosis, predicting prognosis, and tailoring treatment for Kate and her parents. A total of 29 months of a combination of both cognitive-behavioral and psychodynamic treatment by the first author (MAS) included both weekly individual therapy and weekly therapy with her parents for the first 12 months, biweekly individual and parents therapy for the next eight months, and monthly individual sessions for the final nine months, during which Kate was 18 years old. During the initial course of treatment, the antipsychotic was tapered and discontinued without precipitating an exacerbation of symptoms. Symptoms continued to improve throughout treatment with both patient and parents. We discuss the differences between psychosis and “pseudopsychosis” and the reasons for making the distinction in this case. We also discuss the possible explanation for these "pseudohallucinations" in Kate and how treatment was tailored. Finally, we discuss the implications for diagnosis, prognosis, and treatment of this and similar cases of non-psychotic hallucinations

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    Wat palo HI tan ri savaBBav* gtuuv PUB*. paut alto rvtuiw ate cu-ira-ir ! Impressions rtBrsrSta-tisi tuts AS OsSsirSas at stank ». st**, Alt*. Cat.. -at*« last At' IOITOIIAL »TA**- ayM,rue J. A. SgUtBB. Woataar Fair loniRhl. Probable lair tjat- ardajr, wllh heavy frost. miOAT ■ DBCEMni.lt !». t»0- Right and Wrong By GEO. O. ALTNOW Tae laSSSTUf susfj Brut W«-rkly. stat sraa- atoralag nearly thousand copies ol (ha Weakly Pato Alias so ta leaalar aubstrrltasrs. Tata Ja aat a windy riirulaMim manager' Uousan'l. '■'j^-en house ad br aclael sssa at lessi its ■sad readers for Ihe paper. All advertisers, both dallj aad asses'*, are npisssatsd la ihla psb- llratloo. Ths paper consists of six- (ssa Batsa aad aaah peas la fall of tits latsraat No business taaa ran •ford to oterlooh this weekly. It aaa ear belief wbea we started ths dally that tbe weeklr would la a large ussaasra as side tracked. We urets aatstakes la Mm, Tare are both prospering logslber. Tbe i-atnbloi'd dallr sad weeklr wakes a team too strati ta be rwetsted. Every family ant UklBK Ihn dallr Will surely takv taa weeklr. It la oar atak lo boll dowa ear weekly Hat lo actual par- la* BUstarrlbers. White paper costs aaaaar. aad tt takea a tot ot It n prist sUtssa pages, to fay nothing af Ubor aad pontage. Aar pereoa aot slaking to lake taa weekly arged (o aotlfy aa aad ws sill lake pittarv la atriklaa ala name oal (be • tlti- Ttstee are ao many who wast It eaoiigb lo par lor It, (bat we do nut a****, ta sirs awar a alatl* tae*. All of tha eoptaa et lbs weekly will as aaal thronih tba poetoffle*. Thl* nasi til sa that tbe citta-aa et Palo Alio should petition Ibe |Ov«rrimrnt aar aa ultra fores of tsall tarrters. Oar peetomrv Is as prosperous laat tt la dallr biilcln-. OBt wllh mall that eaaaot be delttered oa time. If laa Basil carrier doea sot brim fttex Palo Allan oa Saini-day, tt la because hs aast asoeu -salt taaa ha uaald dellvsr aad roar oooy Is rut-oslng snugly In A tteckiBBB dag far water aad sot ■old. Tbe public dlaa for (old aad jets— watered atock. Ultle did the Virginia rabbit. ibtak. after those football discus- slots*, tbat Prssldaat Roosevelt would look tbem up. John D. Rockefeller Is s*tmelder- lag a scheme for creating sad sadow- 1b. aa old age petwloa land Crowing Old will soon be wortb the while. Tbe trial of Mtdsalsataa CoBm tor hating at AbbbpoIIb Academr prom- I tea about tbe asms outcome aa wbsa crowd of sophomores tries a fresb- bb for being a lire. President Eliot of Harvard adto- catas lbs sbolllloB ot football for mas rasr. We fall to aas tba i or this other than (o Iowa* laa aaal aterage casualties for (he eea- tgry. A Chtrago professor declares resale la a aure care for tbe graft aril. How will be etplsla the effect of grand opera oa Manager Conrled • sdmls-doa prices? Aad oa tae sal- tries ot foreign alngsrs* Whea call tasaa reached IIS. Russell sags aot out of luil. called an automobile, weal dowa to Wall afreet aad la three hoars bad loaaed ost 116,600.060. No. dear reads-', ba didn't (Its It away. The PlllplBoa of Manila aata W. J. Brrsa a reception aad parade worthy of a caaaaarlna hero Tba taaror dalltered a apeecb which had iBdepeadeace u Ita teat, bat te hla surprise. Mr BfTSB ccaasaled cabed- leare lo tbe tovernment. This would iceni to Indicate (hat the Filipinos bats aothlaa to hope for—whea evea Mr. Bryan advisee saDmlaatoa lo law aod order. mil Hlreeb of Chicago de- clsrss tbst Use world aeede saae laad ars. Ta thl* we aares- But wbea was the time tbe earth didn't need ibem* la (he orfclaal gardes. perhaps. All blowlsg ot bora* sad atmltar iialsa will be allowed Is Cbtcago for nlr fifteen mlaatae at the opennlg ot tba new rear. This might work varr well'|a Philadelphia, bnt. It Is craeltr lo tbe average Cbkagoaa. A I'enaartvaala man calls*] la a number of friends Bad a brass baad to celebrate tbe marriage of bta dl' toreed wife. We had all too sooa Buptona tbst ssth bruUlltj of oae man toward another waa a thing of tbe past. In Ban Bernardino two drunkard. wsrs seaieaeed to hear s faatseraace lactate. At this tas srtsnaara broke down completalr sad there were even tears ta the }udge's eyes ss be read (ba B.nii !„■(. iiui there was ao al tsraa(s: tbe court "saw hla duty and dose It." Wbsa King Edward was yet Prlaee of Wales aad tratsJIag la Belgium a man fired a .hot at htm, aad was captured. Testerday Ibe piiaoaei waa tat aaaad aad enrolled la the sr mr- This action would astro to In dlcale tbat tbe author Mas hate forgives him for missing Edward A Baata Rosa famllr l*fl Tester- day ' for htkhlgaa asaes-tlag prsssal when, a little after lbs open' lag of (as aew rear. Us Lord shall ba revealed ta (be thai is aalata. wbo ars aot praaast at taal rsvela- tlon will be lost.- In spile of this the railroads hats aet advertised, (b* place or (ta advents**-* for the loar- AU sabarribera who are aot aatd la advance are urged to sand. la checks for tbetr taberrtptlons As aaaa aa osr bookkeepert can do so, Mils win bs sen! oal. Tbs New Tsar aamber will be resaty ror dtstrtbu- ttsaa aest Mitaasy eveslag. Do aot fail to get tt Bead a doaen copies to rear Meads aad astp to advertise Palo Alta. It essaaa aa tt tba college pre*. steal* of lbs cousin were eying with ascb other la their efforts to make taa most sUartttag atataatsats regard- tag the disposition ot the football aaaa*. President lllot of Hart art saad* lha laie-t effort. He pro- i taat the gam* shall be forbid- - aaa rear aa tbat las -boys" Usse to ooBtlder aad re- lair brutal conduct la the L HONTF BREAD makes happy Earte ft Co. tell It w^CtU-aat-iiCatt- The Dest, scion tl do {ton* Irritating* (Isr-nlclde. Cosrsatsed to care daidruff sad pretaBt hair from 1*111 sf out or money rafuntled. ^utulawjunsalBC. & saORVfeMi PretsrlpUen Drsuisit Career CnlrarsUy aad Kat-crssa Christmas Candles Carittaai Mala Klitd He a. Clriil.ti lute Mid Ik Ib. (1 Ss. tsr Ik. ■ Ckrltlaai Faacy tlud Ik It. McCrackcn's IIS Ualraraltjr Aaa. ++++++ + + + + +++++++*.++*.*, 4. + + + + + + + + + + + + mg; three block, from pctofflc, tlil —a room,, T»k> and Ljtloo. unlur- v'y- o,.h,d nu«. ne.r tchool, UalurouS.it 4. + ++++++++++++ + + + ++++++ + + + * 4, + + + + + + ♦ + FOR RENT FOR SALE COiufWl —Corner lot oa Uncoln aveaae. I0U A*\rV\) ,.„-) spiarttdid reuldaace district. A **t IACA —Corner tot oa sannjr aide of Web- aPlUjU m.f ,tra»t. Hal IB Aa Ideal bSSSS alta. %O*\.S0 ~i toom cottage ia good location, ****** unfurnished A n«t bousa (or a small tamily 3200; JtOOO" -Cood • -oases house ea Webster mm. Choice locaUoa. Choke realdeare lota aaar tae bust- block (root Postoatce. Very good- cheap at tbe price. COC —6 room uuteroithed cottage in ftae f**J|, 3030 30 5050 65 ' iocattoa. Nice lawa aad tire. —Maaaa ah.nfle cottage oa Vfcl- villa Btenoe. Cat in; all improve- iiifnt. Vacant Janusr*-* lat. Now is lbe lime to secure thia aaa BaOaat- —o room home on corner let near University aseaoe, aalurnisbed Small building (or .errant, ia rear Inside furnishing splendid. A very large and beautiful llvlag room wttb art-place tntkri this boase rtpc-tally desirflblc (or a homa. —A targe tt room boeae, well fur- niahed; fine location. —Corner lot on the aiiutiy aide of Brtaa a-trss*t. la good lo- i sxcctletBt tsoardlag boeae for .tud.au stOflC/t —' toom Bhlagle houae adjolntng **}3yJv Ualteralir atsaae. 500usXtadfUl"3rooBmasftUJUUr.iinaWillmake500 usXtadfUl —'-■•'•" '3 roo'B ma' sftUJUUr.iina Will make 2800 —Largs boase aad barn oa prom, nent corner of Un iters it r area tie: beaullful grounds Good bare ta —Kew 3 room cottage oo lot job -saa A eoay Kttle bceac ^*— WEKXOWAMA* J~^ Who bought a SUBURBAN OHO- CEST so aa to stabs hla llrtag aad aapeasss while waiting three rears for other propositloas to develop. Tbe business has dose IM* ssd WADE MONET BNOUOH TO BUT AND PAT FOR SEVERAL OOOD LOTa- NOW THE OWNER MUST LEAVE aad tae propsrty can be pur- cbaaad AT VALUE of the HEAL BX- TATfl aad btock. XMB U8 AT ONCB Co-Operative Land and Trust Company O.ntn ot Evergrean Pars. Sunnyjide. Alba Park, Atnslto Place 203.305 University Avenue, Palo Alto, Cal. San rraneiaco Office. 720 Market Street. Phone Front 31. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 4, ♦+++++ + + + +4.++++++++++ + + + +++++++ +++++ + ++ ++++++J WANTS CLASSIFIED MWCKlXA.VIOtH a. F you want to A-lvtrtts* In rtB-*wspa*>crs Trfstro at giiytimc im or arttte B-lasaeeiifirstt^ipKr I Sastseess atrset Tr*~"**"-,u-- Stop and Think The Mol.k. entire stock must go ut onee. Greet biff berffelas In every department. Goods fflven away. Come In a.id sva* how you can ffet isaic. We want to turn what wc do not ffive away Into cash—quick. You must •at. Why not get all you can ror your money? Any order will be delivered ror IO cents. BLACK'S Skcc.». tt I. F. LUCE 27a-2l. Uhersii) A-niat I'CRE HILK AND CREAM detlt- ered dallr h* the Palo Alto Crveta- ery. Pa taaa 71. e ORDER the reliable Cardinal cigar, al Slade and Krntr't cigar Hands, for the holidays Boa of as *t a-j. Made la Palo .Mm iS-Tt ' "BiiXlviT'BTN^ osvtifcaleu redeenied. Too prtc-e Cbarlea Coaklla. Tie aUrket street iwk WANTKU Rwini sad Ixeird la pritaie fatall* by rommg man Ad drssB H„ aeri a.. Palo Alte. ELDERLY MAN ttaald Uha eta. plpyment: cars of hotws or row aad I*b*t«I there work, for atoderate wsgua. Apidr 1»* I'Bleersltr aeeaue. i;-;t-:i* MONbTT LOANED--O0 propertT. trull or iBi-gs Mwsad AeAlsy. 411 Uadterstly ate.. • IT Market atrees, Saa rraaclsvo It-Irac THE ONLT PLACE ta gat aa ap lo date rhtckra dlaner Kiind«> for !• cssitB la st tas Palo Alto Hotel. WASTE I*.-A leltabwC girl for gen- eral houtetroTb. good coob: three ia latinly P. O BOS A3- 3t* WAST!!*-- G.--I hoy, urith wheel. tot deliver j. Call at Siarilot-d Pbar- mac*-. i.-i*7tfc rtlR HALE—flood vaunt driving mare, alao buggy aad harneee Utile aaatl. J. B. Roealter. U*. Melville ata. t>-lT~ltr PALO ALTO ACADEMY Par Boys sad Girla I Spttot tessester bcfins Mfvoja, Jaaaary a. iqoG Daj and evening classes. Primary, grantniar, high | school and basHtese courses. Pritate or ctats instroctH-tn Terut. m.^le 3*3 Wa.nl> -I-ft i FOR RENT—Two casaa-st roosas to rent at 5 Las-en ttreet. Call or adorn* Box ttX- Stanford I'mv-i- aits, *7-y-- FOR RENT—Tbree boestbreomg rtriiin.. central Iracatioa, tnnny aad BsosJera lmBrovess>eatt Itiqeire jc*. Lytioa avsase _____ It-t*-* ROOMS AND BOARD taa* be bad at very raaanaable rates at .10 Hgh ei ll-l«* LOST—A satall perse. cs*atasstai sra. Rcturs 10 this ofacc. Rcwstd. LA-RTT—Wateh aad chala: aaats of owner oa chela Plader leave with Co-oiteiBtltp Isiad A Trutt Co. aad receive reward. iT-sl'' LOST—A slvBder Ugasts-vttae caae, striped with white on one aide. FtBder will be rewarded br leavlag It at Ml a*atiratia street or by alvlna It to B. C. Htodrvtt. .1-11* JutaTJlaaw FOUND—Oeat'a casta aaa locket Otter may get sarae al it- I'Blrer- alty Bvease by neylag for thl. ad. nttf-jr* MiacraX*^ruXatOt*s^ BOARD AND U1DOINO st tas Palo Alto Hotel •• to t> psr w ' Hagle BBsala tt. II aaa tl n anaday dinners $0 eeata. Doc flsr- Cet a New Tesr'fl proBperlts check of SlatklB. sag **sd tt to yoar frtsad. It looks aa prettr 'as a ebsck for a thousand dollars, alt hough It atay sot be gaits aa es*etMlre. if 704 s,a.r la takea wbea you send us your order or your prusrtiptloa Nothing la dlsneStsed here which baa aot beea cerefnllr assayed or teeled Tshes tint*, of roBIs*: co*U nion.j. loo, bat II fiers. People are rsplsUy learslsg that (be dvoeadable store, aad the aas of lowest prlrea la tbe UNIVERSITY DRUG CO. Ptatsrally Hall Bstldlag aiaar bandBoaai oaee al a i-edne- Hun Ib price. Hut wbelhrr It Is Ire r»nu of Srs dollars, yoar order win bsvs careiul sad prompt ror*Mdtest.os. Coate sad look at lbs aew view tsooka. sesssssaaeeeasaaesaaeees' B. 8. GIBSON San Francisco MtMiofigar and Purchasing Agent DAILY TRIPS Ormcaet F. I- CaaxrM.Lf.-a 1':..-., attra saa Prepare for Winter Strcnjthfn tha Stonuch with Mi-o-n* Tablet*, .aid Keep Well— Guargnteed by UiaSrarntty Drag Company. This la lbe season abea anyone wtteee stutaach la aaturally uvek er who baa beea lajared by eatlag too taat or too much, aboulg suvngtheti It with Ml-o-na Ubleca. If you bate tae l*e*t ayati-atoate of iDdlc-stloa or *tua-arh irosMrt. Bake baste to get rid of It now. *|*ae hearty food sad Indoor life of winter wtll sat s bardea oa thai *soor old wotaach which stay weaken ll bryttma beta Ml-s>na tablets are aa uoa.ual cosnblnsUoa of valBsMe sTtasartaai; ' plesaa. aaent* that aessthe and Beut t Htated meeou* Baeutbrsae sa stomach. BtiBtnlate the aofai *ad Btreagthea ths whole aystem If yoa bate baa dark aa. i lira***, ladlevettoei. heertbura, specks taefoie Ihe ryee. •Jevpleeasaees backache, aad debility oe wsshBess. It shows that you a**>d Ml-o-svs, Ask tbe CuIi»t.ii. Drag Comymmy to aaow rott the cuarantr*- they eiia with eaeh in cent box of this reraedy. Ml-o-aa costs aothlag an lev. It cure*
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