Ultrasound Guided Placement of Single-Lumen Peripheral Intravenous Catheters in the Internal Jugular Vein

Introduction: The peripheral internal jugular (IJ), also called the “easy IJ,” is an alternative to peripheral venous access reserved for patients with difficult intravenous (IV) access. The procedure involves placing a single-lumen catheter in the IJ vein under ultrasound (US) guidance. As this technique is relatively new, the details regarding the ease of the procedure, how exactly it should be performed, and the safety of the procedure are uncertain. Our primary objective was to determine the success rate for peripheral IJ placement. Secondarily, we evaluated the time needed to complete the procedure and assessed for complications. Methods: This was a prospective, single-center study of US-guided peripheral IJ placement using a 2.5-inch, 18-gauge catheter on a convenience sample of patients with at least two unsuccessful attempts at peripheral IV placement by nursing staff. Peripheral IJ lines were placed by emergency medicine (EM) attending physicians and EM residents who had completed at least five IJ central lines. All physicians who placed lines for the study watched a 15-minute lecture about peripheral IJ technique. A research assistant monitored each line to assess for complications until the patient was discharged. Results: We successfully placed a peripheral IJ in 34 of 35 enrolled patients (97.1%). The median number of attempts required for successful cannulation was one (interquartile range (IQR): 1 to 2). The median time to successful line placement was 3 minutes and 6 seconds (IQR: 59 seconds to 4 minutes and 14 seconds). Two lines failed after placement, and one of the 34 successfully placed peripheral IJ lines (2.9%) had a complication – a local hematoma. There were, however, no arterial punctures or pneumothoraces. Although only eight of 34 lines were placed using sterile attire, there were no line infections. Conclusion: Our research adds to the growing body of evidence supporting US-guided peripheral internal jugular access as a safe and convenient procedure alternative for patients who have difficult IV access

Vibrating vaginal balls to improve pelvic floor muscle performance in women after childbirth: Preliminary results (recruitment and survey) of a randomised controlled feasibility trial

Background: Vibrating vaginal pelvic floor training balls are available in Austria and Germany to enhance women’s pelvic floor muscles and thus prevent urinary incontinence and other pelvic floor problems following childbirth. Nonetheless, there is currently little empirical knowledge to substantiate their use or assess their relative effectiveness in comparison to current standard care, which involves pelvic floor muscle exercises [1]. Aims/research question: This feasibility trial aims at assessing practical issues and feasibility of a future randomised controlled trial (RCT) to determine the effectiveness of vibrating vaginal pelvic floor training balls for postpartum pelvic floor muscle rehabilitation, at monitoring harms of the experimental intervention, and at exploring women´s perspectives on and experiences with the interventions and the trial [2]. Methods: Design: Single blind, randomised controlled feasibility trial with two parallel groups. 56 women from six weeks until six months postpartum are recruited in Vienna and randomised into one of two intervention groups to use either vibrating vaginal balls or a comparator pelvic floor muscle exercises for 12 weeks. As this is a feasibility study, study design features (recruitment, selection, randomisation, intervention and concordance, retention, data collection methods/tools, sample size calculation for full trial) are assessed, and participants’ views and experiences are surveyed. Tested outcome measure, collected before and after the intervention, is pelvic floor muscle performance as reported by participants and measured by perineometry by a blinded assessor. Descriptive and inferential statistics and content analysis serve the preparation of the future trial. Results: The results of this feasibility trial will inform the design and conduct of a full randomised controlled trial and provide insight into the experiences of women regarding the interventions and study participation. At the conference, preliminary results concerning recruitment and participants´ opinion and experiences will be presented. Relevance: Knowledge about pelvic floor muscle rehabilitation after childbirth enables midwives to promote women´s pelvic floor health. Recommendations/conclusions: Recommendations/conclusions of this ongoing study will be available at the conference and focus on the feasibility of the planned RCT and on midwifery practice. Ethical considerations: Approved by the ethics committees of the Medical University of Vienna and City University London. Trial registration: NCT02355327. Financing: This is a PhD project, funded by a City University London Scholarship

Brightness induction and suprathreshold vision: Effects of age and visual field

AbstractA variety of visual capacities show significant age-related alterations. We assessed suprathreshold contrast and brightness perception across the lifespan in a large sample of healthy participants (N=155; 142) ranging in age from 16 to 80years. Experiment 1 used a quadrature-phase motion cancelation technique (Blakeslee & McCourt, 2008) to measure canceling contrast (in central vision) for induced gratings at two temporal frequencies (1Hz and 4Hz) at two test field heights (0.5° or 2°×38.7°; 0.052c/d). There was a significant age-related reduction in canceling contrast at 4Hz, but not at 1Hz. We find no age-related change in induction magnitude in the 1Hz condition. We interpret the age-related decline in grating induction magnitude at 4Hz to reflect a diminished capacity for inhibitory processing at higher temporal frequencies. In Experiment 2 participants adjusted the contrast of a matching grating (0.5° or 2°×38.7°; 0.052c/d) to equal that of both real (30% contrast, 0.052c/d) and induced (McCourt, 1982) standard gratings (100% inducing grating contrast; 0.052c/d). Matching gratings appeared in the upper visual field (UVF) and test gratings appeared in the lower visual field (LVF), and vice versa, at eccentricities of ±7.5°. Average induction magnitude was invariant with age for both test field heights. There was a significant age-related reduction in perceived contrast of stimuli in the LVF versus UVF for both real and induced gratings

An Improved Solver for the M/EEG Forward Problem

Noninvasive investigation of the brain activity via electroencephalography (EEG) and magnetoencephalography (MEG) involves a typical inverse problem whose solution process requires an accurate and fast forward solver. We propose the Method of Fundamental Solutions (MFS) as a truly meshfree alternative to the Boundary Element Method (BEM) for solving the M/EEG forward problem. The solution of the forward problem is obtained, via the Method of Particular Solutions (MPS), by numerically solving a set of coupled boundary value problems for the 3D Laplace equation. Numerical accuracy and computational load are investigated for spherical geometries and comparisons with a state-of-the-art BEM solver shows that the proposed method is competitive

Low temperature structural phase transition and incommensurate lattice modulation in the spin gap compound BaCuSi2O6

Results of high resolution x-ray diffraction experiments are presented for single crystals of the spin gap compound BaCuSi$_2$O$_6$ in the temperature range from 16 to 300 K. The data show clear evidence of a transition from the room temperature tetragonal phase into an incommensurately modulated orthorhombic structure below $\sim$100 K. This lattice modulation is characterized by a resolution limited wave vector {\bf q}$_{IC}$=(0,$\sim$0.13,0) and its 2$^{nd}$ and 3$^{rd}$ harmonics. The phase transition is first order and exhibits considerable hysteresis. This observation implies that the spin Hamiltonian representing the system is more complex than originally thought.Comment: 4 pages, 4 figure

A Meshfree Solver for the MEG Forward Problem

Noninvasive estimation of brain activity via magnetoencephalography (MEG) involves an inverse problem whose solution requires an accurate and fast forward solver. To this end, we propose the Method of Fundamental Solutions (MFS) as a meshfree alternative to the Boundary Element Method (BEM). The solution of the MEG forward problem is obtained, via the Method of Particular Solutions (MPS), by numerically solving a boundary value problem for the electric scalar potential, derived from the quasi-stationary approximation of Maxwell’s equations. The magnetic field is then computed by the Biot-Savart law. Numerical experiments have been carried out in a realistic single-shell head geometry. The proposed solver is compared with a state-of-the-art BEM solver. A good agreement and a reduced computational load show the attractiveness of the meshfree approach

STIMA DEL POTENZIALE ELETTRICO IN tDCS CON APPROCCIO MESHLESS INNOVATIVO

Transcranial DC stimulation (transcranial Direct Current Stimulation, tDCS) is a non-invasive technique aimed at modifying neuronal activity for the purpose therapeutic and / or for the improvement of mental performance. A continuous current of entity modest (below the threshold of perception) is injected into the brain via electrodes placed on the scalp surface to produce changes in long-term cortical activity. Despite the increasing use of this and other similar techniques, and the relevant ones applications - for example in the field of neuropsychological rehabilitation - their impact on neuronal activity is not yet fully known, mainly due to the difficulty of predict the spatial distribution of the current within the brain, and to determine the optimal position and size of the electrodes