Cerebral and cardiovascular effects of analgesic doses of ketamine during a target controlled general anesthesia: a prospective randomized study

Introduction: Ketamine is increasingly being used in various pain settings. The purpose of this study was to assess the effect of an analgesic dose of ketamine in the bispectral index (BIS), spectral edge frequency (SEF-95), density spectral array (DSA), cerebral oximetry (rSO2) and mean arterial pressure (MAP) during general anaesthesia with a target controlled infusion. Methods: A prospective, single-blinded and randomized study on adult patients scheduled for elective spine surgery was carried out. After anaesthesia induction with propofol, remifentanil and rocuronium, when a stable BIS value (45-55) was achieved, an automatic recording of BIS, SEF-95, rSO2 and MAP values during 9 min was performed to establish patients baseline values. Subsequently, patients were randomly assigned to receive a ketamine bolus dose of 0.2 mg/kg, 0.5 mg/kg or 1 mg/kg; all variables were recorded for additional 9 min after the ketamine bolus, in the absence of any surgical stimulus. A p-value <0.05 was considered significant in the statistical analysis. Results and discussion: Thirty-nine patients were enrolled in the study. Our results show a dose-related increase of SEF-95 and BIS values. DSA demonstrate a shift in the frequency range and power distribution towards higher frequencies. Our results do not show significant differences in MAP and rSO2 values. Conclusion: When ketamine is used intraoperatively in analgesic doses, the anaesthetist should anticipate an increase in SEF-95 and BIS values which will not be associated with the level of anaesthesia.info:eu-repo/semantics/publishedVersio

Fundraising and vote distribution: a non-equilibrium statistical approach

The number of votes correlates strongly with the money spent in a campaign, but the relation between the two is not straightforward. Among other factors, the output of a ballot depends on the number of candidates, voters, and available resources. Here, we develop a conceptual framework based on Shannon entropy maximization and Superstatistics to establish a relation between the distributions of money spent by candidates and their votes. By establishing such a relation, we provide a tool to predict the outcome of a ballot and to alert for possible misconduct either in the report of fundraising and spending of campaigns or on vote counting. As an example, we consider real data from a proportional election with $6323$ candidates, where a detailed data verification is virtually impossible, and show that the number of potential misconducting candidates to audit can be reduced to only nine

On the origin of unusual transport properties observed in densely packed polycrystalline CaAl_{2}

A possible origin of unusual temperature behavior of transport coefficients observed in densely packed polycrystalline CaAl_{2} compound [M. Ausloos et al., J. Appl. Phys. 96, 7338 (2004)] is discussed, including a power-like dependence of resistivity with $\rho \propto T^{-3/4}$ and N-like form of the thermopower. All these features are found to be in good agreement with the Shklovskii-Efros localization scenario assuming polaron-mediated hopping processes controlled by the Debye energy