1367 Precursor-Product(pp) Relationship Between Rabbit Type Ii Cell Lamellar Bodies(lb) and Alveolar Surface Active Material(sam) and Sam Turnover Time

Abstract

P e d i a t r i c s , Vancouver BC. Many parents f i n d themselves emotionally and cognitively unprepared t o r e l a t e t o their s i c k newborns. W e inform and involve parents by i n v i t i n g them t o informal group meetings s t a f f e d by an i n t e r d i s c i p l i n a r y team of social worker, nurse and physician. The group has met every week f o r 18 months.330 parents have attended.Sessions a r e 1% hours long and coincide with afternoon feeding in t h e regular nurseries. A1 1 parents receive a personal i n v i t a t i o n . Nursery and post-partum s t a f f a r e o r i e n t a t e d t o the purpose of the group. A relaxed and informal atmosphere encourages conversation and discussion. Common a n x i e t i e s a r e shared and parents recognize the disturbance of their emotions and l i f e -s t y l e t o be normal. The physician d e l i b e r a t e l y a r r i v e s l a t e and leaves e a r l y a f t e r giving a s h o r t t a l k and answering questions. Parents i n t e re s t s centre on a basic understanding of common conditions and treatment, the milestones of progress and ultimate outlook. Feeding and l a c t a t i o n a r e major concerns. W e have no control group, but p o s i t i v e feedback, good attendence and a higher p r o f i l e of social issues i n the nursery support the apparent value of t h i s group. Some parents become mutual l y supportive outside t h e group; p a r t i c u l a r l y those w i t h s i c k e r i n f a n t s . Concern t h a t the depth of discussion could d i s t r e s s some parents appears unfounded. Veteran mothers have caused anxiety by inappropriate comment. With this preventive approach t o parent care t h e social worker can i d e n t i f y parents a t risk and i n i t i a t e e a r l y counselling, and the time comnitment by s t a f f i s low f o r the degree of support achieved.. POSTNATAL CLEARANCE OF TRANSPLACENTAL PHENCYCLIDINE1369 TpNSMISSION IN THE HUMAN. Richard D. Marble, Richard G. Thomas, Melvyn L. S t e r l i n g , A . Robert J e f f c o a t (Spon. by Beverly C . Morgan). University of Californ i a , I r v i n e , Department of P e d i a t r i c s and Regional Poison Center.Phencyclidine (PCP) i s a s t r e e t drug commonly abused by young a d u l t s . To date transplacental transmission of PCP has not been demonstrated in humans. A known chronic PCP abuser was followed during pregnancy. Hypertonicity and i r r i t a b i l i t y were noted i n the newborn a t one hour of age, and with v e r t i c a l nystagmus and poor feeding were observed i n t e r m i t t e n t l y u n t i l 8 days of age. Cord blood PCP l e v e l was 36ng/ml by radioimmunoassay (RIA), and became negative by 4 days of age. Urines were positive q u a l i t at i v e l y by enzyme multiplied immunoassay technique (EMIT) t o 8 days of age and q u a n t i t a t i v e l y by gas chromatography with n i t r ogen phosphorus detection (GC) and RIA f o r 10 days. GC was spec i f i c f o r PCP while RIA a l s o detected metabolites.Urine PCP concentration was unrelated to u r ...