Endocrine disorders in critically ill children

Endocrine disorders in critically ill infants and children can be the manifestation of an existing but previously unrecognized condition, or hormonal derangements precipitated by deleterious effects on endocrine function of a critical illness or its prescribed therapy. To achieve successful resolution of these crises, a general understanding of various endocrine dysfunctions, clinical symptomatology, diagnosis, and medical and nursing management is essential.     

Training analysis of adaptive interference suppression fordirect-sequence code-division multiple-access systems

This paper studies the transient behavior of an adaptive near-far resistant receiver for direct-sequence (DS) code-division multiple-access (CDMA) known as the minimum mean-squared error (MMSE) receiver. This receiver structure is known to be near-far resistant and yet does not require the large amounts of side information that are typically required for other near-far resistant receivers. In fact, this receiver only requires code timing on the one desired signal. The MMSE receiver uses an adaptive filter which is operated in a manner similar to adaptive equalizers. Initially there is a training period where the filter locks onto the signal that is sending a known training sequence. After training, the system can then switch to a decision-directed mode and send actual data. This work examines the length of the training period needed as a function of the number of interfering users and the severity of the near-far problem. A standard least mean-square (LMS) algorithm is used to adapt the filter and so the trade-off between convergence and excess mean-squared error is studied. It is found that in almost all cases a step size near 1.0/(total input power) gives the best speed of convergence with a reasonable excess mean-squared error. Also, it is shown that the MMSE receiver can tolerate a 30-40 dB near-far problem without excessively long convergence time     

Effects of dietary proteins on iron bioavailability—A review

In this review we have summarized the iron bioavailability literature dealing with protein (or major dietary protein source) effects and proposed a mechanism for these effects compatible with existing empirical data. Data from studies employing a variety of approaches are fairly consistent in showing that meats enhance non-heme iron absorption while plant, milk and egg proteins depress it. The variable, and sometimes opposite, effects of different proteins on iron bioavailability may be explained by the following proposed mechanism: (1) protein enhances iron bioavailability by releasing peptides during digestion which form soluble, low molecular weight complexes that readily release iron to mucosal receptors; (2) protein depresses iron bioavailability by releasing peptides which form insoluble complexes with iron or which form soluble complexes that do not release iron to mucosal receptors. Data from the literature, including our own evidence, which support the above hypothesis are discussed.     

Research bronchoscopies do not adversely affect HIV-infected individuals' future health-care decisions

STUDY OBJECTIVES: Asymptomatic HIV-infected individuals are increasingly recruited for studies involving invasive procedures such as bronchoscopy. We sought to determine the response to and outcome of a request for a research bronchoscopy in HIV-positive individuals with no respiratory disease, and whether this would adversely affect future decisions to have a medically indicated bronchoscopy. DESIGN AND SETTING: Prospective, semistructured, questionnaire-based study in a London teaching hospital HIV outpatient clinic. PARTICIPANTS: One hundred and seven consecutive HIV-infected eligible individuals. Thirty-one healthy volunteers served as a control group for the subjective response to bronchoscopy. MAIN OUTCOME MEASURES: Subjects' attitudes and responses to requests for bronchoscopy and subsequent behavior when they required medically indicated bronchoscopy. RESULTS: Seventy-five patients (70%) agreed to the procedure in principle, predominantly for altruistic reasons. Thirty-nine subjects underwent bronchoscopy. Five percent found it worse than expected; and 79% agreed to another research bronchoscopy (performed in 11 subjects approximately 2 years later). All patients said they would undergo bronchoscopy again for diagnostic purposes (required in seven during the study). When compared to a healthy volunteer population within the same study, postbronchoscopy symptoms were similar in frequency although somewhat different in nature. Subjects felt that a clear explanation of what was involved enhanced their participation in this research. CONCLUSIONS: Invasive research procedures such as bronchoscopy can be performed and are repeatable in a healthy HIV-infected population. Performance of procedures for research purposes does not appear to adversely affect future health-care decisions.     

Measurement of neutron emission from Ti and Pd in pressurized D2 gas and D2O electrolysis cells

Experiments using high-efficiency neutron detectors have detected neutron emission from various forms of Pd and Ti metal in pressurized D₂ gas cells and D₂O electrolysis cells. Four independent neutron detectors based on³He gas tubes were used. Both random neutrons (0.05–0.2 n/s) and time-correlated neutron bursts (10–280 n) of 100-s duration were measured using time-correlation counting techniques. The majority of the neutron burst events occurred at –30°C as the samples were warming up from the liquid nitrogen temperature.     

Quantitative real-time imaging of myocardium based on ultrasonic integrated backscatter

The integrated backscatter calculation over the full, two-dimensional echocardiographic sector is implemented to produce images from closed-chest dogs. This new real-time integrated backscatter measurement system allows a continuous determination of integrated backscatter from all myocardial regions in the ultrasonic view. By replacing the conventional video processor in a commercial two-dimensional echocardiographic imager with this new real-time backscatter measurement system, it is possible to produce real-time two-dimensional images based on integrated backscatter.