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T Palm

Publications and source records attributed to T Palm.

12 recordsLinked to original sources

Social interaction, cardiovascular activation and the Type A behavior pattern.

The purpose of the study was to explore the relationship between social interaction and cardiovascular activity during a conflict-inducing communication task in Type A and B subjects. One of the subjects, the leader, was instructed to lead the other subject, the follower, through defined routes on a city map merely by help of instructions. The subjects were facing each other on each side of a screen which allowed eye contact but shielded the maps from view. 40 male students (mean age 24 years) exhibiting Type A or Type B behavior according to the Videotaped Structured Interview participated in the study. The results demonstrated large cardiovascular increases during task performance, particularly for leaders, in systolic blood pressure and heart rate. There were no main effects of Type A vs. Type B, but dyads composed of two Type As showed larger increase in diastolic blood pressure during the conflict phase of the task compared to dyads composed of Type Bs.

Adult

Recovery following thiopentone or propofol anaesthesia assessed by computerized coordination measurements.

Quantitative measurements of coordination ability and performance speed were carried out on 76 female day-case patients undergoing minor gynaecological operations. The women were assigned at random to the anaesthetic agent used, propofol 2.5 mg/kg or thiopentone 4 mg/kg. Spacing control, timing control and performance speed were recorded using a newly developed computerized coordination ability test system. The patients were tested once before the operation and 0.5, 1 and 2 h after awakening. Postoperatively the initial impairment and the subsequent regression towards preoperative test results were very similar whether the anaesthetic agent was propofol or thiopentone. Although the test apparatus was able to detect even minor differences, no postoperative test showed statistically significant differences between the two groups. We find it reasonable to conclude that there is no difference in recovery of coordination ability following propofol- or thiopentone-induced anaesthesia.

Adolescent

Computerized coordination ability testing.

Quantitative measurements of coordination ability were carried out on 76 women with a median age of 37, range 15 to 60. Spacing control, timing control and performance speed were recorded using newly developed computerized equipment, Catsys, presented in this paper. Twenty-three subjects were re-examined 2-3 months after the first measurements. A fair or even high degree of reproducibility of tests was found. Normal values for the entire group and correlation values for the re-examined group are presented. The results from this small study implies that the Catsys may be useful, e.g., in future clinical neurological practice of diagnostics and follow up on patients, in occupational medicine for detection of neurotoxic effects of various neurotoxic substances, in evaluation of drug effects and side effects and for testing people in occupations where normal coordination skills are absolutely necessary.

Adult

Percutaneous cannulation of the dorsalis pedis artery. A prospective study.

Strain-gauge plethysmography was used to determine the systolic arterial pressure in the great toe of 38 patients (aged 23-70 yr) undergoing lung surgery. In eight patients (21%) manual compression of the dorsalis pedis artery reduced the arterial pressure in the great toe to less than 40 mm Hg, and cannulation of the artery was not attempted. In 24 of 30 patients with adequate collateral arterial supply, a Teflon cannula (Venflon 1.20) was inserted percutaneously to the dorsalis pedis artery. Median cannulation time was 160 min. Six patients (25%, 95% confidence limits 10-47%) developed thrombosis of the artery and, in one, unsuccessful cannulation caused thrombosis. In two patients, recanalization of the artery occurred between the 2nd and the 8th day after operation. In four patients, examination 3-5 months after cannulation revealed a persisting decrease in the function of the dorsalis pedis artery. This suggests that the dorsalis pedis artery should not normally be selected for cannulation.

Adult

Arterial dominance in the hand.

Arterial pressure was measured simultaneously in the thumb and in the contralateral arm using strain-gauge plethysmography in 100 healthy persons aged 13--43 yr, before and after compression of the radial or the ulnar artery. The radial and ulnar pulses were palpable in all instances. In 29 (14.5%) hands compression of either artery did not reduce the thumb pressure. In 152 (76%) occlusion of the radial artery caused a decrease of more than 10 mm Hg, but never to less than 40 mm Hg. In 91 (45.5%) occlusion of the ulnar artery reduced thumb pressure, on three occasions to less than 40 mm Hg. Radial dominance was shown in 110 hands (55.0%), 24 (12.0%) showed ulnar dominance and in 66 (33.0%) neither vessel dominated.

Adolescent

Evaluation of peripheral arterial pressure on the thumb following radial artery cannulation.

The effects of cannulation of the radial artery were studied in 23 patients. Distal arterial pressure on the thumb, measured during radial or ulnar artery compression, was compared with the result of a modified Allen test performed before operation. Distal arterial pressure on the thumb was monitored for approximately 10 days after removal of the cannula. It was found that radial artery thrombosis, as defined by a thumb arterial pressure of less than 10 mm Hg during ulnar artery compression, occurred with a frequency of about 40% depending on the duration of cannulation. Furthermore, thrombosis of the radial artery resulted in a decrease in perfusion pressure in the thumb of from 17 to 33% of the values before cannulation. However, a satisfactory result from a carefully performed Allen test seems to ensure that post-thrombotic perfusion pressure in the thumb is not decreased to values associated with compromised nutrition of the tissues.

Adult

Blood pressure in the great toe with simulated occlusion of the dorsalis pedis artery.

Blood pressure was measured in both great toes using strain-gauge plethysmography in 100 healthy persons aged 18 to 43 before and during successive compression of the dorsalis pedis artery, the posterior tibial artery, and both arteries at the same time. In 54 (27 percent) of 200 feet, successive compression of the dorsalis pedis and the posterior tibial arteries produced no decrease in pressure in the great toe. In 47 of the feet, toe pressure decreased significantly only after compression of the posterior tibial artery, and in 65 of the feet toe pressure decreased significantly only after compression of the dorsalis pedis artery. In 34 of the feet, toe pressure decreased significantly after compression of each of the arteries. Thus in 99 (50 percent) of 200 feet, compression of the dorsalis pedis artery decreased the pressure in the great toe significantly, and in 4 feet the pressure decreased below 40 mm Hg. When both arteries were simultaneously compressed, 69 feet showed detectable blood pressure in the great toe. Attempts to evaluate adequacy of collateral circulation by pressure blanching of the great toe prior to artery compression and then observing capillary refilling time upon release of toe compression proved unreliable.

Adolescent