Knowledge and attitudes of health-care providers toward cancer pain management: a comparison of physicians, nurses, and pharmacists in the state of New Hampshire

The knowledge and attitudes toward cancer pain management of physicians, nurses, and pharmacists in the state of New Hampshire were examined through the use of a statewide survey. Many of the providers who completed the survey, and thus indicated that they treated patients with cancer pain on a regular basis, were not pain or oncology specialists. Most of these providers were quite well informed about the fundamentals of cancer pain management. Approximately 90% of providers in all three groups were not concerned about addiction among cancer patients. Yet, there was a small percentage of providers who responded in less than optimal ways to items dealing with opioid pharmacology, pain assessment, and the importance of pain relief. Comparison of responses among provider groups indicated that nurses were the most knowledgeable and pharmacists the least knowledgeable about pain assessment. Physicians were the most knowledgeable regarding opioid pharmacology but seemed the least committed to providing optimal pain relief. Further analysis identified a small group of physicians that included a disproportionately high percentage of family practitioners and surgeons who consistently responded in less than optimal ways to items dealing with the importance of pain relief. The results of this study indicate a continuing need for broad-based educational programs in cancer pain management and for new initiatives focused on practitioners who see relatively few cancer patients and may have difficulty accessing traditional educational programs.     

Synthesis of polyribonucleotide chains from the 3'-hydroxyl terminus of oligodeoxynucleotides by Escherichia coli primase

Escherichia coli primase synthesizes RNA primers on DNA templates for the initiation of DNA replication. The sole known activity of primase is to catalyze synthesis of short RNA chains de novo. We now report a novel activity of primase, namely that it can synthesize RNA from the 3'-hydroxyl terminus of a pre-existing oligodeoxynucleotide. The oligonucleotide-primed synthesis of RNA by primase occurs in both of the G4oric-specific priming system and the dnaB protein associated general priming system. This priming reaction of primase is verified by a number of biochemical methods, including inhibition by modified 3'-phosphate of oligonucleotides and deoxyribonuclease I and ribonuclease H cleavages. We also show that the primed RNA is an effective primer for the synthesis of DNA chain by E. coli DNA polymerase III holoenzyme. The significance of this finding to primases generating multimeric length RNA is discussed.     

Pulmonary vein stenosis after catheter ablation of atrial fibrillation

BACKGROUND: This report describes the complication of pulmonary vein stenosis with resultant severe pulmonary hypertension that developed in 2 patients after successful catheter ablation of chronic atrial fibrillation. METHODS AND RESULTS: Three months after successful catheter ablation of atrial fibrillation, both patients developed progressive dyspnea and pulmonary hypertension. Both were found to have severe stenosis of all 4 pulmonary veins near the junction with the left atrium. Balloon dilation of the stenotic pulmonary veins was performed in these patients, with improvement in dyspnea and pulmonary hypertension. CONCLUSIONS: The complication of pulmonary vein stenosis is potentially life-threatening, and the application of radiofrequency current within the pulmonary veins with standard catheter technology should be avoided. This complication can be treated with balloon dilation, although the long-term course is unknown.     

An Overview of Progress in the Design And Implementation of Landsat-D Systems

Landsat-D will be launched in late 1981 or early 1982 into a Sun-synchronous orbit near 700 km. Landsat-D systems and the principal observing instrument, the Thematic Mapper, are being designed and implemented to provide a significantly improved Earth-resources monitoring capability. The Thematic Mapper will have seven spectral bands (0.45-0.52, 0.52-0.60, 0.63-0.69, 0.76-0.90, 1.55-1.75, 2.08-2.35, and 10.5-12.5 ?m), with an instantaneous field of view at nadir of 30 m except for the thermal band (120 m). The data from the Thematic Mapper and other Landsat-D flight segment systems will be relayed to the Landsat-D ground data processing system using a direct readout capability or the Tracking and Data Relay Satellite System and communications satellites. The ground systems will process the data as it arrives at rates up to 100 Mbit/s and a total volume of 2.6 × 1011 bit/day into standard digital and photographic products within 48 hours of data acquisition. This includes 200 Multispectral Scanner Subsystem and 100 Thematic Mapper scenes per day. The Thematic Mapper increased spatial, spectral, and radiometric resolution should be of primary benefit in agricultural and vegetation surveys, but substantial improvements in resource and land cover observations for geology, land use, and water resources applications are also to be anticipated.     

Low-threshold, transversely excited NdP5O14laser

We have measured the room-temperature lasing behavior of NdP5OI4(NdPP) transverselypumped at 058-wm wavelength by a CW dye laser in an excitation geometrysimulatingthat of an LED or laser diode. For acrystal 760 Nm long, the lowest transversethreshold was 4 mW. From thisthresholdandatheoreticalrelationshipbetween excitation efficiency andpump wavelength, we predict that a threshold of approximately 8.5 mW should be possible for excitation by an edge-emitting 0.8-wm wavelength LED. Usingthin NdP P samples with reflecting back surfaces for better excitation efficiency should lower this threshold by -60 percent, andgiveminimumoptical-to-optical con- version efficiencies of - 3.5 percent.     

Calcium-phytate complex formation studies

A calcium-phytate complex has been prepared. The chemical composition indicates that five calciums combine per phytate molecule. The solubility product of this calcium-phytate is about 10^?22 in 0.2 M KCl.     

Field screening of waterborne petroleum hydrocarbons by thickness shear-mode resonator measurements

An inexpensive, field-portable sensor for direct, aggregate determination of aqueous petroleum hydrocarbons (PH) down to sub-ppm levels was developed. The basis of this sensor was an unusual, highly nongravimetric frequency response of 10 MHz (series fundamental) AT-cut quartz crystals when coated with rubbery silicone films. The response depended linearly and reliably on the total concentration of dissolved hydrocarbons over a range of 0.01-100 mg x L(-1) or up to aqueous solubility limits. Calibration sensitivities were measured individually for laboratory-prepared solutions of BTEX (benzene, toluene, ethylbenzene, and xylene isomers) and C6-C8 aliphatic components. Each component demonstrated a method detection limit (MDL) in the low-to sub-ppm range (benzene 10 mg x L(-1), n-hexane 0.54 mg x L(-1)) for light coatings of a commercially available poly-(dimethylsiloxane) gum (OV-1, > 10(6) g x mol(-1)) and lower MDLs for heavier coatings. Pairwise responses for the aliphatic and benzenoid standards were additive, indicating that aggregate determinations of mixtures (especially light fuels) were possible. Natural matrix interferences caused by sample turbidity and ionic strength were overcome by simple preparative methods. Fuel-spiked natural waters were determined with respect to standards and verified by gas chromatography. A 0.19 mg x L(-1) MDL for gasoline was obtained for heavy OV-1 films. Field determinations of groundwater surrounding a leaking underground fuel tank demonstrated that the sensor and method were useful for on-site PH screening. Large differences between the equilibration times of aliphatic and benzenoid components also indicated one avenue for BTEX speciation with the device.     

From devices to tasks: automatic task prediction for personalized appliance control

One of the driving applications of ubiquitous computing is universal appliance interaction: the ability to use arbitrary mobile devices to interact with arbitrary appliances, such as TVs, printers, and lights. Because of limited screen real estate and the plethora of devices and commands available to the user, a central problem in achieving this vision is predicting which appliances and devices the user wishes to use next in order to make interfaces for those devices available. We believe that universal appliance interaction is best supported through the deployment of appliance user interfaces (UIs) that are personalized to a users habits and information needs. In this paper, we suggest that, in a truly ubiquitous computing environment, the user will not necessarily think of devices as separate entities; therefore, rather than focus on which device the user may want to use next, we present a method for automatically discovering the users common tasks (e.g., watching a movie, or surfing TV channels), predicting the task that the user wishes to engage in, and generating an appropriate interface that spans multiple devices. We have several results. We show that it is possible to discover and cluster collections of commands that represent tasks and to use history to predict the next task reliably. In fact, we show that moving from devices to tasks is not only a useful way of representing our core problem, but that it is, in fact, an easier problem to solve. Finally, we show that tasks can vary from user to user.