The treatment of tricuspid insufficiency after the Mustard procedure with a Carpentier annuloplasty ring.
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Biomedical subjects
Publications and source records attributed to B Perry.
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The Blalock-Hanlon procedure has been carried out in 48 neonates with 10 early deaths (21%). This compares favorably with the reported early mortality for balloon atrial septostomy. Most striking have been the length of palliation, freedom from complications, and low incidence of late death among these patients. In contrast, reported series of balloon septostomies have shown a high incidence of strokes, repeat hospitalization, inadequate palliation, and late deaths. Since palliation is reliable following a Blalock-Hanlon procedure, we do not favor early correction with hypothermic arrest but recommend it at 12 to 18 months of age, when conventional perfusion can be easily utilized.
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Although many nurse practitioners may be interested in documenting aspects of their practice through research, resource and time constraints can limit the opportunity. Collaboration can be a practical and rewarding approach to making research feasible for clinicians. Under the auspices of a professional nursing organization, a group of San Francisco Bay area nurse practitioners conducted a survey designed primarily to increase membership in their organization. This article details the process by which the research was conducted and serves as a guide for clinicians about to undertake a similar project.
A collaborative research project conducted by nurse practitioners (NPs) was undertaken to establish a profile of NPs practicing in the San Francisco Bay area. The profile consisted of information regarding educational preparation, certification, employment status, salary, and practice characteristics. A mail survey of all Bay area NPs was implemented to obtain the information used in program planning and membership recruitment for the Primary Care Nurse Practitioner Interest Group of Region 12 of the California Nurses' Association. The results revealed the types of programs desired and common barriers to participation. Based on these findings, changes were made in the program format and offerings to make the organization more responsive to the needs of NPs.
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Prenatal exposure to psychotropic drugs has recently been shown to induce behavioral and brain neurochemical changes in the newborn. The long-term effects of pre- and postnatal exposure to methadone on the opioid (delta and mu) and adrenergic (alpha 2) receptors were investigated in two areas of the rat brain. Rat pups received prenatal treatment with methadone through a minipump implanted in the pregnant dams and were cross-fostered to methadone- or non-methadone-implanted dams until weaned. The rats were sacrificed when fully grown and brains removed. Receptor binding assays using 3H-D-ala-leu-enkephalin and 3H-naloxone for delta and mu opioid receptors respectively and 3H-rauwolscine for alpha 2-adrenergic receptors were performed in two areas of the brain. In the hypothalamus, prenatal methadone treatment induced sustained decreases in both delta and mu opioid receptors but did not cause significant changes in the alpha 2-adrenergic receptors. In the cerebral cortex, prenatal methadone treatment induced significant decreases not only in delta and mu opioid receptors but also in alpha 2-adrenergic receptors. Postnatal methadone treatment alone did not cause significant changes in opioid receptors in the two brain areas, but did induce reduction in the cerebral cortical alpha 2-adrenergic receptors. The significance of these results is discussed.
The incidence of food poisoning in the UK is increasing substantially, with about 50% arising in the home. Many different organisms cause food-borne infections, including Salmonella, Campylobacter and Shigella. Storing food correctly is important. Many households shop only once a week and food is often kept for several days before being eaten. Standards of domestic kitchen hygiene must be improved if the incidence of food poisoning is to be reduced Hand washing, kitchen cleanliness and disinfection are essential.