The fast orthogonal search (FOS) algorithm has been shown to accurately model various types of time series by implicitly creating a specialized orthogonal basis set to fit the desired time series. When the data contain periodic components, FOS can find frequencies with a resolution greater than the discrete Fourier transform (DFT) algorithm. Frequencies with less than one period in the record length, called subharmonic frequencies, and frequencies between the bins of a DFT, can be resolved. This paper considers the resolution of subharmonic frequencies using the FOS algorithm. A new criterion for determining the number of non-noise terms in the model is introduced. This new criterion does not assume the first model term fitted is a dc component as did the previous stopping criterion. An iterative FOS algorithm called FOS first-term reselection (FOS-FTR), is introduced. FOS-FTR reduces the mean-square error of the sinusoidal model and selects the subharmonic frequencies more accurately than does the unmodified FOS algorithm.
Very low birth weight (VLBW) infants less than 1,000 g often experience hyperkalemia and hyperglycemia during the initial hospital course. Hyperkalemia has been noted in 44% to 50% of infants less than 800 g birth weight or less than 28 to 29 weeks' gestation. Hyperglycemia occurs 18 times more frequently in infants less than 1,000 g than in those weighing more than 2,000 g. Insulin has been used for VLBW infants less than 1,000 g to manage hyperkalemia, control hyperglycemia, and optimize parenteral nutrition. A protocol for using exogenous insulin therapy for VLBW infants is described.
The roles of clinical nurse specialist (CNS) neonatal nurse practitioner (NNP) have originated and evolved to meet specific needs in the nursing and medical community. The CNS role was developed in response to the perception that patient care needed to be improved; the NNP role resulted from an acute shortage of physicians to provide neonatal medical management. While on the surface these two roles may appear to be vastly different, many facets of each may be effectively interfaced. The NNP-CNS practice at Doernbecher Neonatal Care Center is an example of successful convergence of the two roles. The implementation of the combined practice is described in this article.
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