Cardiac rupture with dobutamine stress echocardiography

Dobutamine stress echocardiography is a safe method for the evaluation of coronary artery disease, myocardial function, and viability. The potential for cardiac rupture exists. Although clinical and electrocardiographic criteria may be helpful in identifying those patients at risk for cardiac rupture, the criteria are neither sensitive nor specific enough to exclude patients or make recommendations regarding which patients should undergo dobutamine stress echocardiography in the post-infarction period. Physicians must be aware of the possibility and be prepared to treat cardiac rupture when performing dobutamine stress echocardiography.     

Spectral analysis of arterial blood pressure in the rat during atrial fibrillation

This paper describes the development of a systems identification protocol in the rat for use in studies of the dynamics of blood pressure control The method is based on Taylor's canine random heart model and employs electrically induced atrial fibrillation to generate random fluctuations in arterial blood pressure. In order to evaluate the utility of the protocol, recordings of pulsatile blood pressure were obtained from the femoral arteries of anesthetized rats during atrial fibrillation. The data were reduced to spectral density function estimates using standard techniques of discrete spectral analysis. The results indicate that during atrial fibrillation, the time course of arterial blood pressure constitutes a white noise source in the frequency band from 0.01 to 10 Hz, in sharp contrast to the concentration of energy from the normal cardiac cycle into narrow frequency bands within this range. Thus, the protocol should be useful in the analysis of the dynamics of most physiological processes which respond to changes in blood pressure.     

Logic and memory with nanocell circuits

Molecular electronics is an emerging field that seeks to build faster, cheaper, denser computers from nanoscale devices. The nanocell is a molecular electronics design wherein a random, self-assembled array of molecules and metallic nanoparticles is addressed by a relatively small number of input/output pins. The challenge then is to program the nanocell post-fabrication. We have previously demonstrated the ability to program individual simulated nanocells as logic gates. In this paper, we further explore the problem of programming nanocells and consider connecting nanocells into circuits using bistable latches at the interconnects. These latches are critical because they permit signal restoration. Simulated nanocell circuits for logic and memory are presented here.     

Association of Sj?gren's syndrome with HLA-B8

HLA antigens were examined by microdroplet lymphocyte cytotoxicity in 31 patients with Sj?grens syndrome. Fifty percent of 22 Causcasian patients (7 of 17 females and 4 of 5 males) had HLA-B8, as compared to 21% of 1205 controls (P=0.002). The presence of HLA-B8 was not correlated with parotid salivary flow, keratoconjunctivitis sicca, or focus score. Because of its association with a number of autoimmune diseases, including Sj?gren's syndrome, it is suggested that HLA-B8 is genetically liked to an immune response gene(s) that predisposes the individual to autoimmune phenomena. The expression of autoimmunity may be determined by infectious or environmental factors.     

Integrating research on the microcounseling program: A meta-analysis.

Subjected research on Ivey's (1971) microcounseling program to a comprehensive meta-analytic review. A multistage sampling procedure resulted in the identification of 81 admissible studies. Glass's (1976) effect size (ES) statistic was used to estimate average effects for each study and across all studies, and the relation between ES and the sampling distribution of several important methodological and substantive characteristics was assessed. The most conservative overall ES statistic fell in the large-effect category. ESs were influenced differentially by the populations from which Ss were drawn and by the type of client the Ss interviewed when data for ratings on dependent measures were acquired. There was some evidence that the dependent measures used in microcounseling research are limited, which led to a conclusion that research on the teaching of more complex skills may be delayed. The microcounseling program has made a contribution to counseling training and may have pointed the way to new training models. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential regulation of early phase and late phase responses in human neutrophils by cAMP

The elevation of intracellular levels of cyclic AMP by forskolin stimulation of adenylate cyclase regulates early and late phase neutrophil responses differentially. Early phase neutrophil responses as measured by shape change in response to chemotactic factors, transmigration across a polycarbonate membrane and priming were unaffected by forskolin-induced elevation of intracellular cAMP. Late phase neutrophil responses such as release of superoxide anions, activation of phospholipase A2 and platelet activating factor (PAF) synthesis were inhibited by increasing intracellular cAMP through the addition of 10 microM forskolin for 10 min prior to stimulation. N-Formyl-methionyl-leucyl-phenylalanine-stimulated arachidonic acid release fell from 9.3% (untreated cells) to 4.6% in forskolin-treated cells. PAF generation was also inhibited from 430 pg/10(6) cells in untreated cells to background levels in forskolin-treated cells (110 pg/10(6) cells). Also, the reduction of cytochrome c by superoxide anions fell from 4.2 nmol/10(6) cells in the absence of forskolin to 2.0 nmol/10(6) cells following forskolin treatment. These results indicate that in neutrophils the elevation of cAMP acts differentially on cellular responses, not affecting early activation events, but markedly inhibiting late events such as the release of inflammatory mediators.     

Visiting hours. An open ICU

Parkinson's disease (PD) is a chronic and progressive degenerative disorder of the central nervous system characterized by tremor, rigidity, slowness of movement (bradykinesia) and postural abnormalities. The cause is unknown, but the pathology shows that dopamine is profoundly reduced in the basal ganglia of patients with PD. When dopamine is replenished by the administration of levodopa, most of the symptoms of parkinsonism are reduced significantly. Levodopa is considered to be the most reliable and effective symptomatic drug treatment for keeping patients autonomous and functionally independent for as long as possible.     

A study of Hogan's model of counselor development and supervision.

The construct validity and developmental structure of R. A. Hogan's (see record 1966-00843-001) model of counselor development and supervision were studied using a sample of 141 counseling psychology graduate student trainees, interns, and professional staff in 20 university counseling centers. Counselor development questionnaire items were developed into 2 arrangements: one based on Hogan's concepts as he organized them into levels, and another derived empirically using factor analysis. The 2 configurations were compared for their ability to predict experience level of Ss using discriminant function analysis. Each empirical factor was also examined for relationship with experience by means of 1-way ANOVA with preplanned comparisons. Results indicate that counselor development is best described by a complex rather than a simple model and that it involves factors of Anxiety/Doubt, Independence, Method/Skills Training, Work Validation, Commitment Ambivalence, and Respectful Confrontation. Developmental profiles of these issues are described, and implications for supervision and training programs are discussed. (22 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Release of carbon dioxide from dough during baking

Dough was baked in a closed container from which the volatiles were swept with a stream of nitrogen. Carbon dioxide was determined colorimetrically by absorption in an alkaline indicator solution contained in a special cell, in which the flow of gases caused rapid circulation of the absorbent. Graphs of carbon dioxide release against time in oven were sigmoid in form, showing induction periods averaging 4.5 min for mechanically developed (CBP) doughs mixed with fat, and 2.3 min without fat. Analysis of the variance of induction periods and of loaf volumes showed that, in each case, the factor “fat versus no fat” was highly significant. Induction periods were highly correlated with loaf volumes. These results show that loaf volumes are considerably influenced by changes in the permeability of doughs to carbon dioxide at the start of baking. The possibility was considered that carbon dioxide release may occur at a definite transition temperature which is affected by the addition of fat.