EEG responses to standardised noxious stimulation during clinical anaesthesia: a pilot study.

BACKGROUND During clinical anaesthesia, the administration of analgesics mostly relies on empirical knowledge and observation of the patient's reactions to noxious stimuli. Previous studies in healthy volunteers under controlled conditions revealed EEG activity in response to standardised nociceptive stimuli even at high doses of remifentanil and propofol. This pilot study aims to investigate the feasibility of using these standardised nociceptive stimuli in routine clinical practice. METHODS We studied 17 patients undergoing orthopaedic trauma surgery under general anaesthesia. We evaluated if the EEG could track standardised noxious phase-locked electrical stimulation and tetanic stimulation, a time-locked surrogate for incisional pain, before, during, and after the induction of general anaesthesia. Subsequently, we analysed the effect of tetanic stimulation on the surgical pleth index as a peripheral, vegetative, nociceptive marker. RESULTS We found that the phase-locked evoked potentials after noxious electrical stimulation vanished after the administration of propofol, but not at low concentrations of remifentanil. After noxious tetanic stimulation under general anaesthesia, there were no consistent spectral changes in the EEG, but the vegetative response in the surgical pleth index was statistically significant (Hedges' g effect size 0.32 [95% confidence interval 0.12-0.77], P=0.035). CONCLUSION Our standardised nociceptive stimuli are not optimised for obtaining consistent EEG responses in patients during clinical anaesthesia. To validate and sufficiently reproduce EEG-based standardised stimulation as a marker for nociception in clinical anaesthesia, other pain models or stimulation settings might be required to transfer preclinical studies into clinical practice. CLINICAL TRIAL REGISTRATION DRKS00017829

Collective action of water molecules in zeolite dealumination

When exposed to steam, zeolite catalysts are irreversibly deactivated by loss of acidity and framework degradation caused by dealumination. Steaming typically occurs at elevated temperatures, making it challenging to investigate the mechanism with most approaches. Herein, we follow the dynamics of zeolite dealumination in situ, in the presence of a realistic loading of water molecules by means of enhanced sampling molecular dynamics simulations. H-SSZ-13 zeolite is chosen as a target system. Monte Carlo simulations predict a loading of more than 3 water molecules per unit cell at representative steaming conditions (450 °C, 1 bar steam). Our results show that a higher water loading lowers the free energy barrier of dealumination, as water molecules cooperate to facilitate hydrolysis of Al–O bonds. We find free energies of activation for dealumination that agree well with the available experimental measurements. Clearly, the use of enhanced sampling molecular dynamics yields a major step forward in the molecular level understanding of the dealumination; insight which is very hard to derive experimentally

Scope 2 and market-based accounting - Workshop report

This report summarises the presentations and discussions at an international workshop on ‘Scope 2 and Market-based Accounting’, held on 28th April 2023 at the Technical University of Denmark (DTU). There was broad agreement that the current GHG Protocol scope 2 guidance is problematic in terms of ensuring accurate GHG claims. Several presentations discussed the necessity of temporal and spatial matching of consumption and energy attributes, and an identified topic for further research is to determine the spatial boundaries of an electricity grid. Additionality was also a key issue in most of the presentations and the discussions, either as a further necessary requirement for accurate market-based accounting, or for reporting on and incentivising actions that achieve genuine real-world impact. In either case, there was agreement on the need for tests or indicators to operationalise the concept of additionality

Transcriptome analysis of the adult human Klinefelter testis and cellularity-matched controls reveals disturbed differentiation of Sertoli- and Leydig cells article

AbstractThe most common human sex chromosomal disorder is Klinefelter syndrome (KS; 47,XXY). Adult patients with KS display a diverse phenotype but are nearly always infertile, due to testicular degeneration at puberty. To identify mechanisms causing the selective destruction of the seminiferous epithelium, we performed RNA-sequencing of 24 fixed paraffin-embedded testicular tissue samples. Analysis of informative transcriptomes revealed 235 differentially expressed transcripts (DETs) in the adult KS testis showing enrichment of long non-coding RNAs, but surprisingly not of X-chromosomal transcripts. Comparison to 46,XY samples with complete spermatogenesis and Sertoli cell-only-syndrome allowed prediction of the cellular origin of 71 of the DETs. DACH2 and FAM9A were validated by immunohistochemistry and found to mark apparently undifferentiated somatic cell populations in the KS testes. Moreover, transcriptomes from fetal, pre-pubertal, and adult KS testes showed a limited overlap, indicating that different mechanisms are likely to operate at each developmental stage. Based on our data, we propose that testicular degeneration in men with KS is a consequence of germ cells loss initiated during early development in combination with disturbed maturation of Sertoli- and Leydig cells.</jats:p