Parent Preferences Regarding Home Oxygen Use for Infants with Bronchopulmonary Dysplasia.

OBJECTIVES: To determine parent preferences for discharge with home oxygen in infants with bronchopulmonary dysplasia. STUDY DESIGN: This was a prospective study of parents of infants born at <32 weeks' gestation with established bronchopulmonary dysplasia and approaching neonatal intensive care unit (NICU) discharge. Parents were presented a hypothetical scenario of an infant who failed weaning to room air and 2 options: discharge with home oxygen or try longer to wean oxygen. The initial scenario risks reflected a 1.5-week difference in NICU length of stay and no differences in other outcomes. Length of stay and readmission outcomes were increased or decreased until the parent switched preference. Three months after discharge, parents were asked to reconsider their preference. Differences were analyzed by χ2 or Kruskal-Wallis tests. RESULTS: Of 125 parents, 50% preferred home oxygen. For parents preferring home oxygen, the most important reason was comfort at home (79%). Forty percent switched preference when the length of stay difference decreased by 1 week; 35% switched when readmission increased by 5%. For parents preferring to stay in NICU, the most important reason was fear of taking care of the child at home (73%). Thirty-two percent switched preference when the length of stay difference increased by 1 week; 31% switched when readmission decreased by 5%. One hundred ten parents completed the 3-month follow-up; 80 were discharged with home oxygen. Seventy-eight percent would prefer home oxygen (97% who initially preferred home oxygen and 60% who initially preferred to stay in the NICU). CONCLUSIONS: Parents weigh differences in NICU length of stay and readmission risk similarly. After discharge, most prefer earlier discharge with home oxygen. Earlier education to increase comfort with home technology may facilitate NICU discharge planning.

Shipboard Characterization of Tuvalu, Samoa, and Lau Dredge Samples Using Laser-Induced Breakdown Spectroscopy (LIBS).

Chemical analysis using laser-induced breakdown spectroscopy (LIBS) is well suited for field applications and was applied here for shipboard characterization of a large sample set during the RR1310 rock dredging expedition to the Tuvalu Seamounts. Although recently the most common data treatment for LIBS has consisted of a partial least squares approach to define sample groupings, we show that quantitative data of useful quality can be obtained with a univariate approach. Here, our analysis goal was a quantitative comparison of the total alkali (Na2O + K2O) versus silica (SiO2) contents of 586 representative dredge samples with known ranges in common rock types. Out of those samples, >400 form a single large group of alkalic basalts with minor basanites/tephrites (SiO2: 43-48 wt%, Na2O + K2O: 3-5 wt%), similar to known shield-stage compositions of the Rurutu and Samoa hotspots in the sampling area. In contrast, several dredge hauls contain samples with compositions that do not overlap with the majority of samples. This includes three dredges performed on the northern boundary of the Lau Basin that contain similar SiO2 compositions, but slightly higher total alkali (Na2O+K2O) content. Despite this difference, they classify as basanite/tephrite, similar to a subset of the main group. More importantly, similar compositions were previously reported from the same tectonic boundary, ascribed to hotspot mantle source material mixed into the Lau Basin back-arc. Although the quality of the compositional data suffices to enable sample selection for time-intensive analyses, higher precision is required for more in-depth petrogenetic interpretation. Error analysis based on repeat standard measurements suggests averaging 100 spectra per sample is optimal here, while use of a higher resolution spectrometer, together with better laser control, would improve results and interpretations.