The effects of diclofenac suppository and intravenous acetaminophen and their combination on the severity of postoperative pain in patients undergoing spinal anaesthesia during cesarean section

Introduction: The main tasks of postoperative care are postoperative pain and complications control which play an important role in accelerating the recovery of patient’s general condition. Aim: This study was performed in order to compare the effects of diclofenac suppository, intravenous acetaminophen and their combination on the severity of postoperative pain in patients undergoing spinal anaesthesia for cesarean section in Sayyad Shirazi teaching Hospital, Gorgon, Iran. Materials and Methods: This was a double-blind clinical trial on 90 patients undergoing cesarean section. The patients were randomly divided into three groups, group A: 100 mg diclofenac suppository, group B: 1000 mg intravenous acetaminophen, group C: 100 mg diclofenac suppository and 500 mg intravenous acetaminophen. The same spinal anaesthesia circumstances were applied for all the participants. At the end of surgery, pain severity was assessed according to VAS scale at different times. Data were then analysed by SPSS 18 statistical software. Results: The mean age of participants was (28.27±6.07). There was significant difference between the mean pain scores of the three groups before the intervention (p=0.018), which was considered as co-variate. This difference was more notable between the combination of acetaminophen - diclofenac group and diclofenac alone. After the intervention, significant difference was observed in mean pain severity between acetaminophen group and the combination group and also between diclofenac and the combination group. During the study, the least mean pain severity was found in the combination group and the highest was observed in the diclofenac group. Conclusion: Results of this study indicates a significant effect of concomitant use of intravenous acetaminophen and diclofenac suppository on pain severity reduction and reducing the need for repeated doses of narcotics and prolonging the postoperative analgesia. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved

Analytic height correlation function of rough surfaces derived from light scattering

We derive an analytic expression for the height correlation function of a rough surface based on the inverse wave scattering method of Kirchhoff theory. The expression directly relates the height correlation function to diffuse scattered intensity along a linear path at fixed polar angle. We test the solution by measuring the angular distribution of light scattered from rough silicon surfaces, and comparing extracted height correlation functions to those derived from atomic force microscopy (AFM). The results agree closely with AFM over a wider range of roughness parameters than previous formulations of the inverse scattering problem, while relying less on large-angle scatter data. Our expression thus provides an accurate analytical equation for the height correlation function of a wide range of surfaces based on measurements using a simple, fast experimental procedure.Comment: 6 pages, 5 figures, 1 tabl

First record of Ebria tripartita (Schumann) Lemmermann, 1899 from south of the Caspian Sea

Ebria tripartita (Schumann) Lemmermann, 1899, a non-photosynthetic flagellate algae was identified from the southern coast of the Caspian Sea in December 2012. Water temperature at the sampling time was 10 ºC The average concentration of nitrate, phosphate and silicate were 0.7, 0.1 and 1.8 mg.l -1 respectively at the time when species was observed. Total observed phytoplankton cells was 3 × 106 cells.l -1, of which E. tripartita constitute 2×10 3 cells.l -1 representing only 0.75% of phytoplankton community

Uncertainty in the Fluctuations of the Price of Stocks

We report on a study of the Tehran Price Index (TEPIX) from 2001 to 2006 as an emerging market that has been affected by several political crises during the recent years, and analyze the non-Gaussian probability density function (PDF) of the log returns of the stocks' prices. We show that while the average of the index did not fall very much over the time period of the study, its day-to-day fluctuations strongly increased due to the crises. Using an approach based on multiplicative processes with a detrending procedure, we study the scale-dependence of the non-Gaussian PDFs, and show that the temporal dependence of their tails indicates a gradual and systematic increase in the probability of the appearance of large increments in the returns on approaching distinct critical time scales over which the TEPIX has exhibited maximum uncertainty.Comment: 5 pages, 5 figures. Accepted to appear in IJMP

Classical Analogue of the Ionic Hubbard Model

In our earlier work [M. Hafez, {\em et al.}, Phys. Lett. A {\bf 373} (2009) 4479] we employed the flow equation method to obtain a classic effective model from a quantum mechanical parent Hamiltonian called, the ionic Hubbard model (IHM). The classical ionic Hubbard model (CIHM) obtained in this way contains solely Fermionic occupation numbers of two species corresponding to particles with \up and \down spin, respectively. In this paper, we employ the transfer matrix method to analytically solve the CIHM at finite temperature in one dimension. In the limit of zero temperature, we find two insulating phases at large and small Coulomb interaction strength, $U$, mediated with a gap-less metallic phase, resulting in two continuous metal-insulator transitions. Our results are further supported with Monte Carlo simulations.Comment: 12 figure

The effect of posture in premature infants on the arterial oxygen saturation, fraction of inspired oxygen and abdominal distension

Background: Putting infants in a posture that reduces oxygen requirement and the complications of the continuous positive airway pressure method is very important. This study aimed at examining the effect of the posture on the arterial oxygen saturation, fraction of inspired oxygen (FIO2) and abdominal distension in premature infants with the respiratory distress syndrome under nasal continuous positive airway pressure. Materials and Methods: In this clinical trial study, 41 premature infants were selected by the simple random sampling and one-group before-after design. The amounts of arterial oxygen saturation, FIO2 and abdominal distension in supine and prone positions were recorded in a data-collection form. Results: There was a significant difference between the mean FIO2 and between the mean abdominal circumference in the prone and supine positions (P=0.022, P<0.001, respectively). There was no significant difference in the mean of arterial oxygen saturation between the two positions (P=0.749). Conclusion: According to the results of the present study, the neonates’ abdominal distension and FIO2 decreased in the prone position. Thus, this supportive, free of charge and effective method can be recommended for these neonates