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Biomedical subjects

M C Carter

Publications and source records attributed to M C Carter.

At least 55 records · Page 3Linked to original sources

Coping strategies used by parents during their child's hospitalization in an intensive care unit.

The purpose of this study was to identify staff behaviors and parental coping patterns helpful to parents during their child's hospitalization in a pediatric intensive care unit. Subjects were 21 mothers and 15 fathers of 27 hospitalized children. The study used a retrospective self-report method in which parents were asked their perception regarding the use and helpfulness of a number of staff behaviors, as well as whether or not these staff behaviors were experienced. A large percentage of the parents in this study perceived health care professionals in the pediatric intensive care units under study as providing, at least minimally, all of the staff behaviors/interventions listed. The staff behavior seen as most important by the largest number of parents was "being permitted to stay with their child as much as possible." In evaluating the overall findings regarding personal coping strategies, it appears that parents most frequently used problem-focused coping strategies and that these strategies were seen as most helpful. Emotion-focused coping was used by a slightly lower percentage of parents than the other categories.

Adaptation, Psychological↗

Normal levels of active contraction area in spontaneous labour.

A detailed study has been made of uterine activity in a group of 21 unselected women in spontaneous labour. Measurements were made of contraction frequency, active pressure, Montevideo units and active contraction area. The level of Montevideo units were comparable with values previously reported in spontaneous labour. Active contraction area correlated better than any of the other measures with the rate of cervical dilatation in the active phase of labour (r = 0.69). The mean contraction area was 1099 (SD 333) kPas/15 min.

Adolescent↗

Control of sequential movements: evidence for generalized motor programs.

The neuromotor processes underlying the control of rapid sequential limb movements were investigated. Subjects learned to pronate and supinate their forearms rapidly to four target locations in a specific spatio-temporal pattern under two movement-time conditions. The response sequence was first performed in a total movement time of 600 ms. Subjects were then told to produce the movement as quickly as possible while ignoring any timing pattern that they had previously learned. Electromyographic (EMG) signals were recorded from the biceps brachii and pronator teres muscles. Kinematic and EMG analyses were performed to investigate the temporal characteristics underlying the two movement-time conditions. When subjects produced the response as quickly as possible, average movement time to perform each reversal movement decreased while average peak velocity increased. Average total movement time was reduced by approximately 100 ms. Although movement time decreased, the proportion of total time to perform each movement of the sequence remained essentially invariant between movement-time conditions. Similar results were obtained for velocity. The time at which peak velocity was achieved occurred earlier in absolute time, although when normalized to the proportion of total movement time, the time to reach peak velocity was also invariant. Thus subjects proportionally compressed the entire movement sequence in time. The EMG analysis demonstrated that total EMG time decreased 89 ms on the average when subjects sped up the movement sequence. Thus average burst durations for both the biceps and pronator teres muscles decreased when movement speed increased. When burst durations were normalized to a proportion of total EMG time, the average proportion of time each muscle was active remained invariant. Therefore, the temporal pattern of activity for the biceps and pronator teres muscles were also proportionally compressed. The present experiment provided additional evidence for the structure of generalized motor programs consisting of invariant and variant features. Movement speed was considered a variant feature, which is specified each time the program is executed. Relative timing, the proportion of total time to produce each segment of the response, was considered to be an invariant feature and inherent in the structure of the motor program. Support for the invariance of relative timing was observed at both the kinematic and neuromuscular levels of analyses. Alternative models (9-11, 24) were found inadequate to account for the invariance of relative timing with the variation in movement time observed in the present experiment.

Electromyography↗

Sources of parental stress in pediatric intensive care units.

This study utilized an inductive approach to identify sources of stress experienced by parents when a child is admitted to a pediatric intensive care unit. Based on a thorough review of the literature, clinical observations, and interviews with parents of children recently discharged from a pediatric intensive care unit, 79 items defining eight dimensions of pediatric intensive care stressors were identified. Suggestions are made for intervention strategies that can be utilized in an attempt to minimize parental stress.

Humans↗

The specification of digit and duration during motor programming: a new method of precueing.

This experiment manipulated digit uncertainty, duration uncertainty, and response duration (dit or dah) in a choice reaction time key press task. A new method of precueing was developed that effectively "precued" the digit and/or the duration of the key press task without confounding the number of stimulus response alternatives with the levels of uncertainty of digit and duration. When the duration of the response was certain, there were no RT differences between dit and dah responses, however, when duration was uncertain, RT to dah responses were longer than dit. In addition, level of duration uncertainty and digit uncertainty produced an overadditive interaction upon RT. These results are discussed in terms of generalized motor programs and a feature construction hypothesis. In addition, these results support the view that precueing of movement dimensions can be accomplished without confounding the number of stimulus response alternatives and the uncertainties of movement dimensions.

Journal Article↗

Fetal heart rate monitoring using the abdominal fetal electrocardiogram.

An evaluation of a prototype abdominal fetal electrocardiogram (ECG) module for use in a Sonicaid FM3R monitor is described; 103 antenatal recordings of fetal heart rate (FHR) were attempted in 56 patients between 21 and 43 weeks gestation. The overall success rate was 54 per cent but the proportion of successful recordings was reduced between 24 and 36 weeks gestation. Most successful recordings were obtained with the first electrode placings and the quality of the recordings was generally higher than those obtained by simultaneously recorded FHR from ultrasound. Monitoring using the abdominal ECG during parturition was found to be unreliable. The advantages of the method are that it is non-invasive, the patient is not restricted by belts and the technique is easy to apply. However the uncertainty of obtaining a FHR trace between 24 and 36 weeks gestation is a major disadvantage.

Electrocardiography↗