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                  <text>May

9, 1966

Dr. John rarquhar
saith Kline a trench Laboratories
1500 Spring Garden Stract

Philadelphia, Pennsylvania

Dear John:

I

have just returned from California, and ahould like to answer
your inquiry ea to the possibility of using changes in the electrc~
encephalcgraa as an index of the effects of barbiturates. The
history of the measurement of changes in brain function with
barbiturates is a long one and it is quite clear that cost barbitu~
rates enhance the amount cf feat wave activity aypearing in the
electroencephalcgran. The time of the appearance of this activity
depends very much on the type of pretreatment record. and the
ability to accent: these changes depends largely on the techniques

of quantification.

Itil

have
The studies by Charles ahaaasa, Douglas Goldman and Turan
shown that the amount at fast activity can be enhanced if the pre—
existing record is one with ccnsiderabla low voltage fast to begin
with. It is also clear that if one wishes to bring out the fest
the
activity following an oral dose of a drug, this can he done byand
of
of
pentothal.
accent
a specified
subsequent administration
under

this pentcthai activaticn the appearance of barbiturate

spindles can be seen

earlier than by the

naked eye.

After discussion with Dr. Itil, I believe that we can carry out the
measurements to determine the time at which a barbiturate response
appear: and perhspa, its duration by repeating the measurements at
subsequent occasions in other subjects.
With regard to quantification,
analyzer methods available st

! believe that both the frequency
this haspital and the newly developed

caeputer techniques provide us with measurements which are as deli—
cate and aa well defined as anywhere in the ccuntty. In addition,
utilized, we are able to carry out
if the computer techniques are which
have been described by Mtrphree,
certain statistical approaches
who was also interested in determining the time of cn-set of peutothal

effect.

�Dr. reroute!
5~9~65

Page Two

for the details of the study, I believe it would be necessary to
obtain the services of volunteers, requesting that they come to the
laboratory late in the afternoon. It would be advisable that they
come for a number of sittings in which EEG recording would be taken
on each occasion. During the first two recordings, they should be
given a placebo; on the second or third, a oooobsrbiturate in an
snouut to be specified and this to be repeated in a subsequent sit~
tins. I would hope that the examinations would be taken as a minimum
one week apart. and that the subjects not be under any other doom
effects. The recordings should go on for a minimum of three to four
hours to obtain the oo~set of the drug effect and in some subjects,
for tony hours to determine when the record has returned to the base~
line level. I believe it would be necessary to undettake at least
ten subjects and preferably closer to twenty to complete the project.

As

original question, whether there would be differences in effect
for anoharbital in 50 as. doses either in a standard preparation or
in delayeo action fore - after discussing the problem with Dr. ltil,
I so not confident that we could pick up 50 as. and would suggest
that if the design is proper, e dose closet to 200 ea. would be more
easily measurable. However, we will be pleased to try a 50 mg. dose.

The

should like to undertake this study during the summer and can do
so, since I will then have the assistance of a number of nodicsl
students who can participste in the program.

we

I trust that this

answers your inquiry, and

takiug such_a study.

I look forward to under»

Sincerely yours,
Pink, ”0
”a
Director
Miljb

D.

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              <text>1964 </text>
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              <text>&lt;a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank"&gt;Fink, Max, 1923-&lt;/a&gt;</text>
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