Molecular Gas in NUclei of GAlaxies (NUGA). X. The Seyfert 2 galaxy NGC 3147

We present CO(1-0) and CO(2-1) observations of the SA(rs)bc Seyfert 2 galaxy NGC 3147, obtained with the IRAM interferometer at 1\farcs9 $\times$1\farcs6 and 1\farcs6 $\times$1\farcs4 resolutions, respectively. A central peak seen mainly in CO(2-1) and a ring-like structure at $r \simeq 10$\arcsec $\sim$2 kpc dominate the CO maps. In CO(1-0) an outer spiral at $r \simeq 20$\arcsec $\sim$4 kpc is also detected, not visible in CO(2-1) emission because it falls outside the field-of-view of the primary beam. The kinematics of the molecular structures are quite regular, although there is evidence for local non-circular or streaming motions. We show that the molecular gas distribution is similar but not exactly identical to those of star formation tracers. Using a NIR image obtained with adaptive optics at the CFHT Telescope, we identify a weak bar in NGC 3147, which is classified as non-barred galaxy in the optical. We then compute the gravity torques exerted by this stellar bar on the gas. We find that the gas inside the inner CO ring is subject to a net negative torque and loses angular momentum. This is expected for gas at the UHR, just inside the corotation resonance of the stellar bar. In contrast, the gas outside corotation, in the spiral arms comprising the outer spiral structure, suffers positive torques and is driven outwards. We conclude that some molecular gas is presently flowing into the central region, since we find negative torques down to the resolution limit of our images.Comment: 17 pages, 23 figures, accepted for publication in A&

New Insights Into the Pharmacological Management of Postoperative Pain: A Narrative Review

Postoperative pain is prevalent and often undertreated. There is a risk that untreated or suboptimally treated postoperative pain may transition into chronic postoperative pain, which can be challenging to treat. Clinical guidelines recommend the use of multimodal analgesia, including non-steroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and, in some cases, opioids. NSAIDs are a broad class of drugs with different attributes such as cyclo-oxygenase (COX)-1 or COX-2 selectivity, onset of action, and analgesic potency. NSAIDs are associated with gastrointestinal and cardiovascular side effects and should be administered at the lowest effective dose for the shortest effective duration but can be effective in postoperative pain. The role of opioids in postoperative analgesia is long-standing but has recently come under scrutiny. Opioids are often used in multimodal analgesic combinations in such a way as to minimize the total consumption of opioids without sacrificing analgesic benefit. Special clinical considerations are required for surgical patients already on opioid regimens or with opioid use disorder. A particularly useful fixed-dose combination product for postoperative analgesia is dexketoprofen-tramadol, which confers safe and effective postoperative pain control and reduces the risk of persistent postoperative pain

A New Technique for Inferior Hypogastric Plexus Block: A Coccygeal Transverse Approach -A Case Report-

Chronic pelvic pain is a common problem with variable etiology. The sympathetic nervous system plays an important role in the transmission of visceral pain regardless of its etiology. Sympathetic nerve block is effective and safe for treatment of pelvic visceral pain. One of them, the inferior hypogastric plexus, is not easily assessable to blockade by local anesthetics and neurolytic agents. Inferior hypogastric plexus block is not commonly used in chronic pelvic pain patients due to pre-sacral location. Therefore, inferior hypogastric plexus is not readily blocked using paravertebral or transdiscal approaches. There is only one report of inferior hypogastric plexus block via transsacral approach. This approach has several disadvantages. In this case a favorable outcome was obtained by using coccygeal transverse approach of inferior hypogastric plexus. Thus, we report a patient who was successfully given inferior hypogastric plexus block via coccygeal transverse approach to treat chronic pelvic pain conditions involving the lower pelvic viscera

New views on bar pattern speeds from the NUGA survey

We present a review on bar pattern speeds from preliminary results in the context of the Nuclei of Galaxies (NUGA) project. The large variety of molecular circumnuclear morphologies found in NUGA is a challenging result that implies the refinement of current dynamical models of galaxies.Comment: 4 pages,3 figures, 1 table. To appear in "Tumbling, Twisting, and Winding Galaxies: Pattern Speeds along the Hubble Sequence", E. M. Corsini and V. P. Debattista (eds.), Memorie della Societa` Astronomica Italian

A Case of Propofol-Induced Oropharyngeal Angioedema and Bronchospasm

Propofol (2,6-diisopropylphenol) is an ultrashort-acting sedative agent with sedative and amnestic effects that is used not only for anesthesia but also for sedation during minor outpatient procedures and endoscopic examinations. Rare cases of anaphylaxis following propofol administration have been reported in the medical literature. Documentation of anaphylaxis is often lacking because the cause and effect relationship is often hard to prove. Only a minority of patients get referred for allergy testing to confirm the offending drug. Here we report a 74-year-old woman who had an anaphylactic reaction with severe oropharyngeal edema and bronchospasm for a few minutes after receiving propofol during endoscopic examination. An allergy skin test was positive for both propofol and soybean. Soybean in the intralipid is one component of propofol, and we concluded that this anaphylaxis was caused by soybean

The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149726/1/pan13639_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149726/2/pan13639.pd