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

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

Diaqua­bis[5-(2-pyrid­yl)-1H-tetra­zolato-κ2 N 1,N 5]cobalt(II)

In the title compound, [Co(C6H4N5)2(H2O)2], the Co atom is bonded to two water mol­ecules and two bidentate 5-(2-pyrid­yl)tetra­zolate ligands resulting in a slightly distorted octa­hedral CoN4O2 coordination geometry. The CoII cation is situated on a crystallographic center of inversion. The asymmetric unit therefore comprises one-half of the mol­ecule. The four N atoms belonging to two bidentate 5-(2-pyrid­yl)tetra­zolate ligands lie in the equatorial plane and the two associated water mol­ecules are observed in the axial coordination sites. The crystal structure exhibits a three-dimensional supra­molecular network assembled by inter­molecular O—H⋯N hydrogen bonds

Poly[bis­(4,4′-bipyridine)(μ3-4,4′-dicarboxybiphenyl-3,3′-di­carboxyl­ato)iron(II)]

In the polymeric title complex, [Fe(C16H8O8)(C10H8N2)2]n, the iron(II) cation is coordinated by four O atoms from three different 4,4′-dicarboxybiphenyl-3,3′-di­carboxyl­ate ligands and two N atoms from two 4,4′-bipyridine ligands in a distorted octa­hedral geometry. The 4,4′-dicarboxybiphenyl-3,3′-di­carboxyl­ate ligands bridge adjacent cations, forming chains parallel to the c axis. The chains are further connected by inter­molecular O—H⋯N hydrogen bonds, forming two-dimensional supra­molecular layers parallel to (010)

A polymorph of diaqua­bis(pyrazine-2-carboxyl­ato-κ2 N 1,O)copper(II)

The title compound, [Cu(C5H3N2O2)2(H2O)2], is a new polymorph of the previously reported compound [Klein et al. (1982 ▶). Inorg. Chem. 21, 1891–1897]. The CuII atom, lying on an inversion center, is coordinated by two N atoms and two O atoms from two pyrazine-2-carboxyl­ate ligands and by two water mol­ecules in a distorted octa­hedral geometry with the water mol­ecules occupying the axial sites. Inter­molecular O—H⋯O, O—H⋯N and C—H⋯O hydrogen bonds connect the complex mol­ecules into a two-dimensional layer parallel to (10), whereas the previously reported polymorph exhibits a three-dimensional hydrogen-bonded network

catena-Poly[[[1,2-bis­(benzimidazol-2-yl)ethane]cadmium(II)]-μ-sebacato]

In the title compound, [Cd(C10H16O4)(C16H14N4)]n, the CdII ion is six-coordinated in a distorted octa­hedral geometry by four carboxyl­ate O atoms from two sebacate ligands and two N atoms from the chelating 1,4-bis­(2-benzimidazol­yl)ethanebutane ligand. Neighboring CdII ions are bridged by the sebacate ligands, forming a zigzag polymeric chain structure. The chains are further extended into a three-dimensional supra­molecular structure through inter­molecular N—H⋯O hydrogen bonds

Phosphocreatine Preconditioning Attenuates Apoptosis in Ischemia-Reperfusion Injury of Rat Brain

Phosphocreatine (PCr) is an endogenous compound containing high-energy phosphate bonds. It has been confirmed that PCr is effective in preventing and treating cardiac and renal ischemia-reperfusion injury. In this study, rat cerebral ischemia-reperfusion injury models were constructed. Apoptotic cells in the cortex region were measured by TUNEL method. Malondialdehyde (MDA) content was detected by chromatometry, and calmodulin (CaM) activity was detected by ELISA. Compared with sham-operated group (sham group), TUNEL-positive cells, MDA, and level of CaM activity increased in ischemia-reperfusion group (I/R group) and PCr preconditioning group (PCr group); compared with I/R group, TUNEL-positive cells, MDA content, and level of CaM activity decreased in PCr group. This study indicated that PCr can decrease the morphological damage and the neuron apoptosis of the ischemia-reperfusion injury brain through attenuating abnormalities of calcium balance and production of oxygen free radicals

Magnetic Borophenes from an Evolutionary Search

A computational methodology based on ab initio evolutionary algorithms and spin-polarized density functional theory was developed to predict two-dimensional magnetic materials. Its application to a model system borophene reveals an unexpected rich magnetism and polymorphism. A metastable borophene with nonzero thickness is an antiferromagnetic semiconductor from first-principles calculations, and can be further tuned into a half-metal by finite electron doping. In this borophene, the buckling and coupling among three atomic layers are not only responsible for magnetism, but also result in an out-of-plane negative Poisson\u27s ratio under uniaxial tension, making it the first elemental material possessing auxetic and magnetic properties simultaneously

Mycoplasma hyorhinis infection in gastric carcinoma and its effects on the malignant phenotypes of gastric cancer cells

<p>Abstract</p> <p>Background</p> <p><it>Mycoplasma hyorhinis </it>infection has been postulated to play a role in the development of several types of cancer, but the direct evidence and mechanism remained to be determined.</p> <p>Methods</p> <p>Immunohistochemistry assay and nested polymerase-chain reaction (PCR) were performed to examine the <it>mycoplasma hyorhinis </it>infection in gastric cancer tissues. Statistical analysis was used to check the association between mycoplasma infection and clinicopathologic parameters. Transwell chamber assay and metastasis assay were used to evaluate <it>mycoplasma hyorhinis</it>' effects on metastasis in vitro and in vivo. <it>Mycoplasma hyorhinis</it>-induced extracellular signal-regulated kinase (ERK) and epidermal growth factor receptor (EGFR) activation were investigated by Western blot.</p> <p>Results</p> <p>My<it>coplasma hyorhinis </it>infection in gastric cancer tissues was revealed and statistical analysis indicated a significant association between mycoplasma infections and lymph node metastasis, Lauren's Classification, TNM stage, and age of the patients. <it>Mycoplasma hyorhinis </it>promoted tumor cell migration, invasion and metastasis <it>in vitro </it>and <it>in vivo</it>, which was possibly associated with the enhanced phosphorylation of EGFR and ERK1/2. The antibody against p37 protein of <it>Mycoplasma hyorhinis </it>could inhibit the migration of the infected cells.</p> <p>Conclusions</p> <p>The infection of <it>m</it>y<it>coplasma hyorhinis </it>may contribute to the development of gastric cancer and <it>Mycoplasma hyorhinis</it>-induced malignant phenotypes were possibly mediated by p37.</p