Thoracic Epidural Versus Continuous Intercostal Catheter For Patients Undergoing Video Assisted Thoracoscopic Surgery (VATS)

Advances in technology have pushed many practitioners towards the implementation of minimally invasive surgery. Many different specialties have rapidly adopted this new approach and patient outcomes have improved as a result of this transition. One specialty, thoracic surgery, has evolved with this change through the development of video assisted thoracoscopic surgery (VATS). Despite improved patient outcomes, thoracic surgery remains one of the most painful procedures that a patient can endure. Although there are many different analgesic modalities available, the gold standard for post-operative analgesia in this patient population remains unknown. The aim of this literature review is to compare the analgesic benefits of thoracic epidural analgesia to intercostal analgesia

Alien Registration- Guilmet, Pierre (Biddeford, York County)

https://digitalmaine.com/alien_docs/5325/thumbnail.jp

3-Alkoxy-4-bromothiophenes: general synthesis of monomers and regio-selective preparation of two dimers

3-Alkoxy-4-bromothiophenes were synthesized in three steps from the readily available methyl 2-carboxylate-3-hydroxythiophene and two isomers of bithiophenes based on the 3-bromo-4-methoxythiophene moiety were regio-selectively prepared. (C) 2011 Elsevier Ltd. All rights reserved

Immobilization of the Aminopeptidase from \u3cem\u3eAeromonas proteolytica\u3c/em\u3e on Mg2+/Al3+ Layered Double Hydroxide Particles

A novel biomaterial formed by the immobilization of the Aminopeptidase from Aeromonas proteolytica (AAP) on synthetic Mg2+ and Al3+ ion-containing layered double hydroxide (LDH) particles was prepared. Immobilization of AAP on the LDH particles in a buffered, aqueous mixture is rapid such that the maximum loading capacity, 1 × 10−9 moles of AAP/mg LDH, is achieved in a few minutes. X-ray powder diffraction of LDH samples before and after treatment with AAP indicates that the enzyme does not intercalate between the layers of LDH, but instead binds to the surface. Treatment of AAP/LDH with various amounts of salt in a buffered mixture demonstrates that between 15 and 20% of AAP can be removed from the LDH by washing the composite material in 0.2 M NaCl. However, the residual AAP remains bound to the LDH even at 1 M salt concentrations. A suspension of the AAP/LDH biomaterial in 10 mM Tricine buffered, aqueous solution (pH 8.0 and 25° C) catalyzes the hydrolysis of l-leucine-p-nitroanilide demonstrating that immobilized AAP remains available to substrate and retains its catalytic activity. Recycling experiments reveal that the AAP/LDH particles can be recovered and reused multiple times without appreciable loss of activity. This work provides the foundation for the development of materials that will function in the degradation or detection of peptide hormones or neurotoxins

A Successful Primary Percutaneous Coronary Intervention Twelve Days After a Cabrol Composite Graft Operation in Marfan Syndrome

The Cabrol procedure is one of several techniques used for re-implantation of a coronary artery. After replacement of the ascending aorta and aortic valve using a composite graft, second Dacron tube grafts are used for anastomosis between the ascending aortic graft and the coronary arteries. Ostial stenosis is one of the complications associated with the Cabrol operation. However, there have been no reported cases of acute thrombosis of a Cabrol graft. Here we report a case with acute ST elevation myocardial infarction due to thrombotic total occlusion of a right Cabrol graft-to-right coronary artery (RCA) twelve days after surgery in a patient with Marfan syndrome. He was successfully treated with primary percutaneous coronary intervention (PCI)

Adaptation of a Smoking Cessation and Prevention Website for Urban American Indian/Alaska Native Youth

Tobacco use among American Indian youth is a disproportionately significant problem. We adapted and modified an existing web-based and youth-focused tobacco control program to make it appropriate for young urban American Indian/Alaska Natives (AI/ANs). The results of the focus group indicate that AI/AN youth were very receptive to the use of a web-based Zine-style intervention tool. They wanted the look and feel of the website to be more oriented toward their cultural images. Future research should examine if successful programs for reducing non-ceremonial tobacco use among urban AI/AN youth can keep young irregular smokers from becoming adult smokers

Alien Registration- Guilmet, Octavie (Lewiston, Androscoggin County)

https://digitalmaine.com/alien_docs/28549/thumbnail.jp

Alien Registration- Guilmet, Rose (Lewiston, Androscoggin County)

https://digitalmaine.com/alien_docs/28425/thumbnail.jp

Alien Registration- Guilmet, Octavie (Lewiston, Androscoggin County)

https://digitalmaine.com/alien_docs/28549/thumbnail.jp

A Hero\u27s Journey Through Myth and Meth

We all hunt Demons. They lie under rocks and in the belly of the soul. The power of myth is its ability to look past the human condition and peer into the animal within. I am telling tales with a mouth full of water and a stone under my tongue. Facts become garbled and heavy. The imagery of mythology links back through art history, connecting seemingly disparate traditions through their most elemental commonalities. These commonalities were passed on through story and tradition, carrying with them cultures and ethics. These traditions help trace our forebears to the classical Greeks and before through myth, religion and folk tales. The icons in these stories celebrate a hero’s journey as both sinner and saint. I map my own untrue histories to rationalize an incomprehensible present in search of some strange semblance of morality