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Biomedical subjects

P Meier

Publications and source records attributed to P Meier.

196 records · Page 11Linked to original sources

Polio trial: an early efficient clinical trial.

The Salk Vaccine Field Trial was a randomized, placebo-controlled trial designed to test the efficacy of the Salk killed virus vaccine. Although the trial was not without some problems, both in design and analysis, none was important enough to raise serious questions about the results. Thus, the design of the Field Trial was well adapted to the demanding requirements. The trial owes its success in a large part to substantial public involvement. In designing future, large-scale, simple trials, we may still be able to benefit from the lessons of the Polio Vaccine Trial.

Child↗

Competitive effects of verapamil and calcium ion as regulators of myocardial enzyme leakage.

Verapamil (Vp) has been found to augment the creatine kinase (CK) and lactate dehydrogenase (LDH) leakage from isolated mouse heart incubated in vitro at 25 degrees C. This leakage was concentration-dependent, and in the second hour followed the Henri-Michaelis-Menten kinetics model. Least-squares estimates obtained with this model for the Km values of verapamil were 0.38 +/- 0.16 mM (CK leakage) and 0.51 +/- 0.21 mM (LDH leakage). Calcium ion inhibited this effect of verapamil, completely abolishing it when the [Ca2+]:[Vp] greater than or equal to 2. At lower [Ca2+], the effect of verapamil also followed hyperbolic kinetics; the Km of verapamil was increased, but the asymptomatic leakage rate at high [Vp] was not changed significantly. These features indicate that the calcium ion is a competitive inhibitor of verapamil-augmented enzyme leakage. These observations suggest that there may exist a common calcium ion and verapamil binding site, or two allosterically related binding sites, which represent a prime determinant of myocardial leakage. The concept of a vulnerable site that binds calcium ions and verapamil competitively and initiates or vitiates processes that influence myocardial enzyme leakage is attractive because it suggests new approaches to the problem of myocardial preservation. As verapamil is thought not to enter the cell, the site of the competitive inhibition may be the sarcolemmal coat.

Animals↗

A discharge planning tool for use with families of high-risk infants.

The transition from hospital care to home care for high risk infants can be facilitated by the process of discharge planning. A tool designed specifically to coordinate discharge counseling and instruction for parents of high-risk infants has been developed and implemented in a perinatal center. Preliminary results indicate that the tool enables the health team to make an objective, rather than subjective, decision in respect to discharge of infants. Use of the tool also standardizes and documents the nurse's role in discharge planning.

Chicago↗

Evaluation of a discharge planning tool for use with families of high-risk infants.

The effectiveness of using a discharge planning tool for families with high-risk infants in a special care nursery is evaluated. Consistent use of the discharge planning tool resulted in parents' increased feeling of preparedness for discharge of their high-risk infants. Implications that resulted from the evaluation are presented.

Continuity of Patient Care↗

Four-day, forty-hour workweek for neonatal intensive care nurses.

The four-day, 40-hour alternative work schedule was presented to professional nurses in the special care nursery at a hospital and medical center in Chicago, Illinois. Within a few months, every nurse in the unit, in addition to those newly recruited, elected to work the alternative schedule. The project was evaluated at 12 and 18 months, with encouraging results. The nurses perceived the 10-hour day as a major structural support enabling them to provide optimal patient care while coping with work-related stress.

Absenteeism↗

Breastfeeding.

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Breast Feeding↗

Determination of ochratoxin A in green coffee by immunoaffinity column cleanup and liquid chomatography: collaborative study.

A collaborative study was conducted to evaluate a method using immunoaffinity column cleanup with liquid chromatography (LC) for the determination of ochratoxin A (OTA) in green coffee at levels that could be included in possible future regulations of the European Union. The test portion was extracted with methanol-3% aqueous sodium hydrogen carbonate solution (50 + 50, v/v). The extract was filtered, and the filtrate was diluted with phosphate-buffered saline and applied to an immunoaffinity column containing antibodies specific for OTA. After washing, the toxin was eluted from the column with methanol and quantified by LC with fluorescence detection. Pairs of 4 homogeneous noncontaminated and naturally contaminated materials (mean levels of < 0.12, 2.44, 5.15, and 13.46 ng/g) and blank samples (< 0.12 ng/g) for spiking were sent to 20 participant laboratories from 8 countries. The materials were analyzed according to the method description and all difficulties encountered in the analysis were reported. Statistical analysis was carried out according to the Harmonized Protocol of the International Union of Pure and Applied Chemistry. The relative standard deviation for repeatability (RSDr) ranged from 7.42 to 20.94%, and the relative standard deviation for reproducibility (RSDR) ranged from 16.34 to 29.17%. The method showed acceptable within-laboratory and between-laboratories precision for green coffee materials, as evidenced by HorRat values of < or = 0.85, at the studied range, for spiked and naturally contaminated materials. The mean recovery was 92.8% for green coffee material spiked with OTA at a level of 4.82 ng/g.

Buffers↗

Bottle- and breast-feeding: effects on transcutaneous oxygen pressure and temperature in preterm infants.

Transcutaneous oxygen pressure (tcPO2) and body temperature were monitored for the duration of feeding sessions in five small preterm infants who served as their own controls for bottle-feeding (BoF) and breast-feeding (BrF). Longitudinal data were collected twice weekly for BoF and BrF sessions from infants' first oral feeding until discharge, for a total of 71 feeding sessions: 32 BoF and 39 BrF. Markedly dissimilar for the two feeding methods, tcPO2 patterns suggested less ventilatory interruption during BrF than BoF. Sequential tcPO2 values at baseline, immediately postfeed, and 10 minutes postfeed were significantly different for the feeding methods, with greater declines for BoF. Maximal temperature change, calculated by subtracting the baseline from the most extreme temperature for each feeding session, indicated that infants became significantly warmer during BrF than BoF. Although the small sample size necessitates replication, these results do not support the widely held assumption that BrF is more stressful than BoF for small preterm infants.

Blood Gas Monitoring, Transcutaneous↗