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.     

The deficiency of the ‘economic optimum’ application for evaluating models which predict crop yield response to nitrogen fertiliser

Much effort is devoted to testing N-fertiliser models against measurements of yield in N-fertiliser experiments. We show that the economic optimum application of N-fertiliser can often only be determined very imprecisely from such measurements, even when they are accurate. Hence any attempt to evaluate a simulation model by comparing simulated with experimentally determined optima, or to relate these experimental optima to other factors thought to influence yield, will be uninformative. Big differences between simulated and measured optima will occur even with good models, which may explain the apparent poor performance of some simulation models in the literature.We suggest, instead, the systematic inspection of the differences between simulated and observed yields at the levels of N-fertiliser applied in an experiment. A study of the relationship of these differences to the applied level of N-fertiliser and to other factors of interest will be a more informative method of evaluating a model, and of suggesting other factors for inclusion in it. An example of the use of the method is given.     

Effects of acetylsalicylic acid, dipyridamole, and hydrocortisone on epinephrine-induced myocardial injury in dogs

A reproducible model for producing diffuse myocardial injury (epinephrine infusion) has been developed to study the cardioprotective effects of agents or maneuvers which might alter the evolution of acute myocardial infarction. Infusions of epinephrine (4 mug per kilogram per minute for 6 hours) increased radiocalcium uptakes into intact myocardium and each of its subcellular components with the mitochondrial fraction showing the most consistent changes when compared to saline-infused control animals (4,957 vs. 827 counts per minute per gram of dried tissue or fraction). Myocardial concentrations of calcium also increased significantly (12.0 vs. 5.0 mg.per 100 Gm. of fat-free dry weight). Infusions of calcium chloride sufficient to raise serum calcium concentrations 2 mEq. per liter failed to increase calcium influx into the myocardial cell. Mitochondrial radiocalcium uptakes were significantly decreased in animals pretreated with acetylsalicylic acid or dipyridamole or when hydrocortisone was added to the epinephrine infusion (2,682,2,803, and 3,424 counts per minute per gram of dried fraction, respectively). Myocardial calcium concentrations also were decreased (11.2, 8.3, and 8.9 mg. per 100 Gm. of fat-free dry weight, respectively) in the three treatment groups, being significantly decreased only in the last two. Evidence of microscopic damage was graded as less severe in the three treatment groups. Acetylsalicylic acid, dipyridamole, and hydrocortisone all appear to have cardioprotective effects when tested in this model.     

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.