Physiological responses of premature infants to a painful stimulus

The purpose of this study was to describe the physiological responses of premature infants to an acute tissue-damaging stimulus and to determine how severity of illness and behavioral state influenced these responses. The physiological responses (heart rate, oxygen saturation, and intracranial pressure) of a convenience sample of 124 premature infants between 32 and 34 weeks gestational age were described during four phases of a routine heel stick procedure. Analysis of the results showed a significant multivariate main effect of phase on the group of physiological responses. Behavioral state was found to influence the physiological responses, but severity of illness did not.     

Inhibitory effect of pulmonary surfactant proteins A and D on allergen-induced lymphocyte proliferation and histamine release in children with asthma

The role of pulmonary surfactant proteins in the pathogenesis of airway inflammation and the impact on asthma has not been elucidated. This study was designed to examine the effect of surfactant proteins A (SP-A) and D (SP-D) on phytohemagglutinin- (PHA) and mite allergen Dermatophagoides pteronyssinus (Der p)-induced histamine release and the proliferation of peripheral blood mononuclear cells (PBMC) in children with asthma in stable condition (n = 21), asthmatic children during acute attacks (n = 9), and age-matched control subjects (n = 7). The results show that SP-A and SP-D were able to reduce the incorporation of [3H]thymidine into PBMC in a dose-dependent manner. In addition to the intact, native SP-A and SP-D proteins, a recombinant peptide composed of the neck and carbohydrate recognition domain (CRD) of SP-D [SP-D(N/CRD)] was also found to have the same suppressive effect on lymphocyte proliferation. This effect was abolished by the presence of 100 mM mannose (for SP-A) or maltose (for SP-D) in the culture medium, which suggested that the CRD regions of SP-A and SP-D may interact with the carbohydrate structures on the surface molecules of lymphocytes. The inhibitory effects of surfactant proteins on PHA- and Der p-stimulated lymphocyte responses were observed in stable asthmatic children and age-matched control subjects, while only a mild suppression (< 25%) was seen in activated lymphocytes derived from asthmatic children with acute attacks. SP-A and SP-D were also found to inhibit allergen-induced histamine release, in a dose-dependent manner, in the diluted whole blood of asthmatic children. We conclude that both SP-A and SP-D can inhibit histamine release in the early phase of allergen provocation and suppress lymphocyte proliferation in the late phase of bronchial inflammation, the two essential steps in the development of asthmatic symptoms. It appears that SP-A and SP-D may be protective against the pathogenesis of asthma.     

Complications of rhytidectomy

In a recent study of rhytidectomy patients, the most common complications were hematoma, inflammation, crusting, hypertrophic scars, hair loss, and changes in ear lobe appearance. The nurse's role in early detection and prevention cannot be overlooked. This article will review these complications and less common ones, emphasizing the known etiologies, signs and symptoms, and the nurse's role in assessment and intervention.     

Determination of zinc in fingernails by non-flame atomic absorption spectroscopy

The determination of Zn in fingernails directly using the graphite furnace presented certain difficulties due to the anomalous behavior of the analyte in the furnace. The appearance of two peaks which were due to Zn and not to any background interference was noted. The Zn value obtained by adding the area of these two peaks compared fairly well with Zn levels determined by wet ashing and subsequent determination either in the furnace or flame. Wet ashed samples gave only a single peak. It was possible to produce a model of the phenomenon with various Zn salts in a non aqueous matrix. Under these conditions ZnSO4 and ZnO gave a discretely different peak from ZnC12 or metallic Zn. Several tissues such as serum, whole blood, cuticle, and hair were examined for multiple peak formation. Direct determination of Zn in fingernails with the graphite furnace is possible for certain applications such as the determination of Zn levels of white spots in fingernails. For this purpose it is possible to use a sample size as small as 20 mug using the 2138 Zn line. This allows one to run several determinations on a single white spot. However, where sample size is not a limitation, wet ash digestion prior to determination in the furnace is probably the preferred procedure.     

Efficient planar convex hull algorithm

A new algorithm for computing the convex hull of a planar set of points is presented. The method of determining the set of suitable candidates is compared with previous algorithms. The algorithm is also compared with other algorithms in terms of running time and storage requirements, and experiments indicate that it is at least as good in terms of space and generally better in terms of running time.