A study of patient-related characteristics and outcome after moderate injury

The purpose of all injury care is to restore patients' pre-injury functioning and to facilitate the return to normal activities. The aim of this prospective study was to describe and analyse psychiatric factors and other patient-related characteristics which influence long-term results after moderate injuries. One hundred and sixty-nine injured patients were randomized to go through a comprehensive psychosocial research protocol and to participate in the 12 month follow up. The 49 patients lost to follow-up differed significantly from all other patients. They were more often single, blue-collar workers with a lower educational level and had a less favourable psychosocial background, including alcohol abuse. The 120 patients who completed the follow-up were divided in two groups: the non-recovered group (NR, N = 58), patients reporting limitations in performing their work and/or limitations in carrying out housework and/or in social life, and the recovered group (R, N = 62), patients reporting full recovery or only minor limitations in exercise or sports 12 months after the injury. The NR patients were older (P < 0.05), had a slightly higher injury Severity Score (P < 0.01) and showed signs of depression both during the acute post-injury period and at 1 year follow up (P < 0.001). The multivariate analysis showed that measurements of pain and depression during the acute post-injury period were associated with the functional outcome after 12 months. Co-operation between injury and psychiatric units should be developed to identify patients needing psychosocial or psychiatric support during the early phase of rehabilitation.     

Apoptosis as a cause of death in measles virus-infected cells

To determine the mechanism of measles virus-induced cell death, we studied the infection of Vero cells and monocytic cell lines with wild-type (Chicago-1) and vaccine (Edmonston) strains of measles virus. DNA fragmentation indicative of apoptosis was apparent by flow cytometry, agarose gel electrophoresis, and electron microscopy. Within syncytia, DNA strand breaks were demonstrated by end labeling with terminal transferase and then by visualization.     

Transesophageal echocardiography: implications for the critical care nurse

TEE is an exciting and useful diagnostic tool that is rapidly gaining widespread acceptance in both teaching centers and community hospitals. Because of the semi-invasive nature of the procedure, nursing expertise is essential to ensure patient safety and comfort during the TEE examination.     

Multicarrier modulation for narrowband PCS

Investigation of multicarrier modulation has demonstrated the feasibility of using this modulation format to deliver relatively high channel bit rates (24 kbps) to a low cost, pager-like personal communications service (PCS) terminal that enjoys long battery life (e.g., one month on a few pen-light cells). This is to be compared to the 1200 bps carried by typical current paging systems or the 6250 bps attained by the new ERMES paging system. While more complex modulation formats, such as PSK and QAM, might achieve higher bit rates in less (power, size, cost) constrained environments, amplitude keying of the component subcarriers allows simple noncoherent energy detection that is found to be robust in this short message delivery application     

The contrast enhancement of brain and spinal cord tumors using Gd-DTPA in magnetic resonance tomography with an extra-low magnetic-field intensity

The contrasting agent Gd-DTPA (Magnevist, Schering AG, Germany) was tested when used in magnetic resonance tomography using extra-low (0.04 T) magnetic field intensity in 68 patients with various brain and spine tumors. The agent was injected intravenously in a dose of 0.1 mmol/kg. No complications were found. The tests showed its high efficiency in the diagnosis of brain neoplasms (particularly in malignant intracerebral disorders, meningiomas and neurinomas). Benign astrocytomas induced no noticeable signal intensification on post-contrasting T1-weighed tomograms. In all cases of spinal tumors, the application of Gd-DTPA could specify the extent of tumor invasions, the presence of cysts and identify accessory tumor nodes in one case.     

Iodide mediated electrolysis of acidic coke/coal suspension

Hydrogen is among the emerging energy vectors that are being developed to replace nonrenewable hydrocarbon energy sources. The preferred method to produce hydrogen without generating greenhouse gases is the electrolysis of water using renewable energy. The reduction of energy during the water electrolysis process is a desirable goal regardless of the source of electric power. Similar to ferrous/ferric mediation, iodide can be used as a mediator in the electrolysis of an acidic suspension of coke or coal. The iodide ion is oxidized at a far lower anodic potential than the alternative oxygen evolution reaction. This reduces the cell electrolysis voltage and, consequently, reduces electricity use. The iodide consumed at the anode is continuously regenerated by chemical reaction with the coke/coal in suspension.