24,139 research outputs found

    Safety and efficacy of etomidate and propofol anesthesia in elderly patients undergoing gastroscopy: A double-blind randomized clinical study

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    The aim of the present study is to compare the safety, efficacy and cost effectiveness of anesthetic regimens by compound, using etomidate and propofol in elderly patients undergoing gastroscopy. A total of 200 volunteers (65–79 years of age) scheduled for gastroscopy under anesthesia were randomly divided into the following groups: P, propofol (1.5–2.0 mg/kg); E, etomidate (0.15-0.2 mg/kg); P+E, propofol (0.75–1 mg/kg) followed by etomidate (0.075-0.1 mg/kg); and E+P, etomidate (0.075-0.01 mg/kg) followed by propofol (0.75–1 mg/kg). Vital signs and bispectral index were monitored at different time points. Complications, induction and examination time, anesthesia duration, and recovery and discharge time were recorded. At the end of the procedure, the satisfaction of patients, endoscopists and the anesthetist were evaluated. The recovery (6.1±1.2 h) and discharge times (24.8±2.8 h) in group E were significantly longer compared with groups P, P+E and E+P (P<0.05). The occurrence of injection pain in group P+E was significantly higher compared with the other three groups (P<0.05). In addition, the incidence of myoclonus and post-operative nausea and vomiting were significantly higher in group P+E compared with the other three groups (P<0.05). There was no statistical difference among the four groups with regards to the patients' immediate, post-procedure satisfaction (P>0.05). Furthermore, there was no difference in the satisfaction of anesthesia, as evaluated by the anesthetist and endoscopist, among the four groups (P>0.05). The present study demonstrates that anesthesia for gastroscopy in elderly patients can be safely and effectively accomplished using a drug regimen that combines propofol with etomidate. The combined use of propofol and etomidate has unique characteristics which improve hemodynamic stability, cause minimal respiratory depression and less side effects, provide rapid return to full activity and result in high levels of satisfaction

    Fibrin Gel as an Injectable Biodegradable Scaffold and Cell Carrier for Tissue Engineering

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    Due to the increasing needs for organ transplantation and a universal shortage of donated tissues, tissue engineering emerges as a useful approach to engineer functional tissues. Although different synthetic materials have been used to fabricate tissue engineering scaffolds, they have many limitations such as the biocompatibility concerns, the inability to support cell attachment, and undesirable degradation rate. Fibrin gel, a biopolymeric material, provides numerous advantages over synthetic materials in functioning as a tissue engineering scaffold and a cell carrier. Fibrin gel exhibits excellent biocompatibility, promotes cell attachment, and can degrade in a controllable manner. Additionally, fibrin gel mimics the natural blood-clotting process and self-assembles into a polymer network. The ability for fibrin to cure in situ has been exploited to develop injectable scaffolds for the repair of damaged cardiac and cartilage tissues. Additionally, fibrin gel has been utilized as a cell carrier to protect cells from the forces during the application and cell delivery processes while enhancing the cell viability and tissue regeneration. Here, we review the recent advancement in developing fibrin-based biomaterials for the development of injectable tissue engineering scaffold and cell carriers

    Gradient weighting for speaker verification in extremely low Signal-to-Noise Ratio

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    Speaker verification is hampered by background noise, particularly at extremely low Signal-to-Noise Ratio (SNR) under 0 dB. It is difficult to suppress noise without introducing unwanted artifacts, which adversely affects speaker verification. We proposed the mechanism called Gradient Weighting (Grad-W), which dynamically identifies and reduces artifact noise during prediction. The mechanism is based on the property that the gradient indicates which parts of the input the model is paying attention to. Specifically, when the speaker network focuses on a region in the denoised utterance but not on the clean counterpart, we consider it artifact noise and assign higher weights for this region during optimization of enhancement. We validate it by training an enhancement model and testing the enhanced utterance on speaker verification. The experimental results show that our approach effectively reduces artifact noise, improving speaker verification across various SNR levels.Comment: Accepted by ICASSP 202

    On Optimal Neighbor Discovery

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    Mobile devices apply neighbor discovery (ND) protocols to wirelessly initiate a first contact within the shortest possible amount of time and with minimal energy consumption. For this purpose, over the last decade, a vast number of ND protocols have been proposed, which have progressively reduced the relation between the time within which discovery is guaranteed and the energy consumption. In spite of the simplicity of the problem statement, even after more than 10 years of research on this specific topic, new solutions are still proposed even today. Despite the large number of known ND protocols, given an energy budget, what is the best achievable latency still remains unclear. This paper addresses this question and for the first time presents safe and tight, duty-cycle-dependent bounds on the worst-case discovery latency that no ND protocol can beat. Surprisingly, several existing protocols are indeed optimal, which has not been known until now. We conclude that there is no further potential to improve the relation between latency and duty-cycle, but future ND protocols can improve their robustness against beacon collisions.Comment: Conference of the ACM Special Interest Group on Data Communication (ACM SIGCOMM), 201
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