Neural correlates linking trauma and physical symptoms

Highlights •Trauma patients showed greater physical health symptoms and decreased prefrontal but increased hippocampal responses to stress than controls.•More frequent physical symptoms were associated with an increased left hippocampal response to stress.•Trauma may increase physical health symptoms by compromising hippocampal function, which could also increase vulnerability to comorbid stress- and pain-related disorders.info:eu-repo/semantics/publishedVersio

Bezold-Jarisch Reflex Induced by Dopamine during Isoflurane Anesthesia in Small Dogs

Background: Unlike other major reflexes contributing to hemodynamic homeostasis, the Bezold-Jarisch reflex (BJR) paradoxically decreases heart rate (HR) and mean arterial pressure (MAP) despite hypotension. In the veterinary field, there are few reported cases of BJR induced by dopamine, which is often used to manage hypotension. Herein, 2 cases involving small dogs exhibiting BJR due to dopamine infusion during general anesthesia are described.Cases: Case 1: A 7-year-old, 7 kg, mongrel was referred for external skeletal fixator removal. The patient was premedicated with 0.3 mg/kg midazolam and 0.2 mg/kg butorphanol intravenously (IV). General anesthesia was induced with 6 mg/kg propofol and maintained with 1.6% isoflurane in oxygen. The patient was given 5 mL/kg/h of Hartmann’s solution IV. The respiratory rate (RR) was set to 9 breaths/min with a ventilator. The HR and MAP values were initially 120 bpm and 76 mmHg and gradually decreased to 70 bpm and 40 mmHg, respectively. The end-tidal CO2 partial pressure (ETCO2) was 39 mmHg, and the patient was administered 2.5 μg/kg glycopyrrolate IV. Then, 5 μg/kg/min dopamine was administered IV since the MAP did not improve. The HR, MAP, and ETCO2 increased to 113 bpm, 72 mmHg, and 47 mmHg, respectively. Subsequently, HR and MAP dramatically decreased to 50 bpm and 43 mmHg, respectively. A second-degree atrioventricular block was detected, prompting dopamine infusion discontinuation, and 2.5 μg/kg glycopyrrolate was again administered IV. Within 5 min, HR and MAP values normalized, and postoperative patient recovery was typical. Case 2: A 2-year-old, 8.6 kg, mongrel underwent surgery to correct a medial luxating patella of the right leg. The patient was premedicated with 0.3 mg/kg midazolam and 0.2 mg/kg butorphanol IV. Anesthesia was induced with 4 mg/kg propofol IV and maintained with 3% isoflurane in oxygen; 10 mL/kg/h of Hartmann’s solution was administered IV. Within 15 min, the patient’s HR and MAP values decreased from 120 to 107 bpm and 73 to 50 mmHg, respectively. The ETCO2remained approximately 39 mmHg, and RR decreased from 20 to 17 breaths/min. Dopamine was infused at a rate of 5 µg/kg/min. After 10 min, the MAP slightly increased from 50 to 57 mmHg, but the HR dramatically decreased from 107 to 62 bpm and the RR also dropped to 12 breaths/min. Further, a second-degree atrioventricular block was observed. Dopamine infusion was immediately discontinued, and 2.5 μg/kg glycopyrrolate was injected IV. As the HR returned to 94 bpm, the atrioventricular block disappeared, and the RR increased to 15 breaths/min. After general anesthesia was terminated, the patient recovered well.Discussion: Among drugs used for anesthesia, propofol and isoflurane may lower the MAP and HR. Therefore, HR or MAP decreases at the beginning of anesthesia are likely due to the drugs. Considering half-life, it is unlikely that propofol provoked sudden HR or MAP decreases at about 25 min post-induction. Isoflurane may also be ruled out since the hemodynamic disorder depended on dopamine injection. Sudden decreases in the HR, MAP, or RR after dopamine injection are not generally expected dopaminergic or adrenergic responses, which likely occur due to the vagal cardiopulmonary reflex suggesting the BJR resulting from activation of cardiac mechano- or chemoreceptors. To the best of our knowledge, there have been no reports of dopamine-mediated BJR in young or middle-aged, small dogs. The BJR has been observed in older, larger dogs and humans. In the patients described, body condition score may be considered when estimating the cause of the BJR. Since they scored 8/9, it is possible that obesity increased the risk of the BJR. This report described the clinical features and treatment outcomes in young or middle-aged, obese, small-sized dogs, whose hypotension or bradycardia was exacerbated by dopamine.Keywords: Bezold-Jarisch reflex, dopamine, hypotension, bradycardia, canine.

Dual Responsive Dependent Background Color Based on Thermochromic 1D Photonic Crystal Multilayer Films

In this paper, we present dual responsive one-dimensional (1D) photonic crystal (PC) multilayer films that utilize a high-humidity environment and temperature. Dual responsive 1D PC multilayer films are fabricated on precoated thermochromic film by sequential alternate layer deposition of photo-crosslinkable poly(2-vinylnaphthalene-co-benzophenone acrylate) (P(2VN-co-BPA)) as a high refractive index polymer, and poly(4-vinylpyrollidone-co-benzophenone acrylate) P(4VP-co-BPA) as a low refractive index polymer. The thermochromic film shows a vivid color transition from black to white at 28 °C. Three different colors of thermochromic 1D PC multilayer films are prepared by thickness modulation of P(4VP-co-BPA) layers, and the films on a black background exhibit visible spectrum color only in a high-humidity environment (over 90% relative humidity (RH)). For the three films placed on a hands display, three different composite colors are synthesized by the reflection of light, including yellow, magenta, and cyan, due to the changing of backgrounds from black to white with temperature. Additionally, the films show remarkable color transitions with reliable reversibility. The films can be applied as anti-counterfeiting labels and can be used for smart decoration films. To the best of our knowledge, this is the first report of dual response colorimetric films that change color in various ways depending on temperature and humidity changes, and we believe that it can be applied to various applications

PAGE—Practical AES-GCM Encryption for Low-End Microcontrollers

An optimized AES (Advanced Encryption Standard) implementation of Galois Counter Mode of operation (GCM) on low-end microcontrollers is presented in this paper. Two optimization methods are applied to proposed implementations. First, the AES counter (CTR) mode of operation is speed-optimized and ensures constant timing. The main idea is replacing expensive AES operations, including AddRound Key, SubBytes, ShiftRows, and MixColumns, into simple look-up table access. Unlike previous works, the look-up table does not require look-up table updates during the entire encryption life-cycle. Second, the core operation of Galois Counter Mode (GCM) is optimized further by using Karatsuba algorithm, compact register utilization, and pre-computed operands. With above optimization techniques, proposed AES-GCM on 8-bit AVR (Alf and Vegard’s RISC processor) architecture from short-term, middle-term to long-term security levels achieved 415, 466, and 477 clock cycles per byte, respectively

Bezold-Jarisch Reflex Induced by Dopamine during Isoflurane Anesthesia in Small Dogs

Background: Unlike other major reflexes contributing to hemodynamic homeostasis, the Bezold-Jarisch reflex (BJR) paradoxically decreases heart rate (HR) and mean arterial pressure (MAP) despite hypotension. In the veterinary field, there are few reported cases of BJR induced by dopamine, which is often used to manage hypotension. Herein, 2 cases involving small dogs exhibiting BJR due to dopamine infusion during general anesthesia are described.Cases: Case 1: A 7-year-old, 7 kg, mongrel was referred for external skeletal fixator removal. The patient was premedicated with 0.3 mg/kg midazolam and 0.2 mg/kg butorphanol intravenously (IV). General anesthesia was induced with 6 mg/kg propofol and maintained with 1.6% isoflurane in oxygen. The patient was given 5 mL/kg/h of Hartmann’s solution IV. The respiratory rate (RR) was set to 9 breaths/min with a ventilator. The HR and MAP values were initially 120 bpm and 76 mmHg and gradually decreased to 70 bpm and 40 mmHg, respectively. The end-tidal CO2 partial pressure (ETCO2) was 39 mmHg, and the patient was administered 2.5 μg/kg glycopyrrolate IV. Then, 5 μg/kg/min dopamine was administered IV since the MAP did not improve. The HR, MAP, and ETCO2 increased to 113 bpm, 72 mmHg, and 47 mmHg, respectively. Subsequently, HR and MAP dramatically decreased to 50 bpm and 43 mmHg, respectively. A second-degree atrioventricular block was detected, prompting dopamine infusion discontinuation, and 2.5 μg/kg glycopyrrolate was again administered IV. Within 5 min, HR and MAP values normalized, and postoperative patient recovery was typical. Case 2: A 2-year-old, 8.6 kg, mongrel underwent surgery to correct a medial luxating patella of the right leg. The patient was premedicated with 0.3 mg/kg midazolam and 0.2 mg/kg butorphanol IV. Anesthesia was induced with 4 mg/kg propofol IV and maintained with 3% isoflurane in oxygen; 10 mL/kg/h of Hartmann’s solution was administered IV. Within 15 min, the patient’s HR and MAP values decreased from 120 to 107 bpm and 73 to 50 mmHg, respectively. The ETCO2remained approximately 39 mmHg, and RR decreased from 20 to 17 breaths/min. Dopamine was infused at a rate of 5 µg/kg/min. After 10 min, the MAP slightly increased from 50 to 57 mmHg, but the HR dramatically decreased from 107 to 62 bpm and the RR also dropped to 12 breaths/min. Further, a second-degree atrioventricular block was observed. Dopamine infusion was immediately discontinued, and 2.5 μg/kg glycopyrrolate was injected IV. As the HR returned to 94 bpm, the atrioventricular block disappeared, and the RR increased to 15 breaths/min. After general anesthesia was terminated, the patient recovered well.Discussion: Among drugs used for anesthesia, propofol and isoflurane may lower the MAP and HR. Therefore, HR or MAP decreases at the beginning of anesthesia are likely due to the drugs. Considering half-life, it is unlikely that propofol provoked sudden HR or MAP decreases at about 25 min post-induction. Isoflurane may also be ruled out since the hemodynamic disorder depended on dopamine injection. Sudden decreases in the HR, MAP, or RR after dopamine injection are not generally expected dopaminergic or adrenergic responses, which likely occur due to the vagal cardiopulmonary reflex suggesting the BJR resulting from activation of cardiac mechano- or chemoreceptors. To the best of our knowledge, there have been no reports of dopamine-mediated BJR in young or middle-aged, small dogs. The BJR has been observed in older, larger dogs and humans. In the patients described, body condition score may be considered when estimating the cause of the BJR. Since they scored 8/9, it is possible that obesity increased the risk of the BJR. This report described the clinical features and treatment outcomes in young or middle-aged, obese, small-sized dogs, whose hypotension or bradycardia was exacerbated by dopamine.Keywords: Bezold-Jarisch reflex, dopamine, hypotension, bradycardia, canine.

Indium tin oxide-free small molecule organic solar cells using single-walled carbon nanotube electrodes

We demonstrated single-walled carbon nanotubes (SWNTs) electrode-based small molecule organic solar cells (OSCs) using diketopyrrolopyrrole donor, DPP(TBFu)2 as an electron donor with [6,6]-phenyl-C61-butyric acid methyl ester (PC61BM) as an electron acceptor. SWNT films with 60% transmittance (at 550 nm) were dry-transferred onto glass substrates to replace conventional indium tin oxide (ITO) electrodes. In order to improve the conductivity of the SWNT electrodes, MoOx thermal doping was applied followed by spin coating of poly(3,4-ethylenedioxythiophene):polystyrenesulfonate (PEDOT:PSS) to enhance doping and electrode blocking function. The indium-free devices showed a power conversion efficiency (PCE) of 1.00% while ITO-based devices showed a PCE of 3.79%.Peer reviewe

Multi‐Functional MoO3 Doping of Carbon‐Nanotube Top Electrodes for Highly Transparent and Efficient Semi‐Transparent Perovskite Solar Cells

Abstract MoO3 doping of carbon‐nanotube top electrodes in perovskite solar cells is multi‐functional and facilitates p‐doping, favorable energy‐level alignment, and enhanced hole transport. The optimal layer thickness of MoO3 (8 nm) is determined for decreasing the sheet resistance of carbon‐nanotube electrodes without damaging the perovskite film. The sheet resistance decreases by approximately one‐third from its original value, which is a substantially better result than that previously reported for acid doping of carbon‐nanotube top electrodes. MoO3 deposition lowers the Fermi level of the carbon‐nanotube electrode, improving its energy‐level alignment and hole‐transfer performance. When coated with 2,2′,7,7′‐tetrakis[N,N‐di(4‐methoxyphenyl)amino]‐9,9′‐spirobifluorene (spiro‐MeOTAD), MoO3 crystallizes on the carbon nanotubes and further enhances hole collection. Semi‐transparent perovskite solar cells with MoO3‐doped carbon‐nanotube electrodes have a power conversion efficiency of 17.3% with a transmittance of approximately 60% (at a wavelength of 1000 nm). Because of their favorable transparency in the infrared region, these perovskite solar cells are evaluated for use in a tandem structure with silicon solar cells via computational simulations. The predicted device efficiency (23.7%) exceeds that of conventional indium‐tin‐oxide‐based tandem solar cells (23.0%)

High-Crystalline Regioregular Polymer Semiconductor by Thermal Treatment for Thickness Tolerance Organic Photovoltaics

To successfully develop a regioregular polymer, poly[4,8-bis(5-(2-hexyldecyl)thiophen-2-yl)benzo[1,2-b:4,5-b ']dithiophene][5,5 '-bis(7-(4-(2-butyloctyl)thiophen-2-yl)-6-fluorobenzo[c][1,2,5]thiadiazol-4-yl)-2,2 '-bithiophene] (PDBD-FBT), a symmetric monomer synthesized in high yield by tin homo-coupling reactions. PDBD-FBT is suitable as a donor material in organic photovoltaics (OPVs) because it shows high crystallinity and strong face-on packing properties. These properties were amplified by thermal annealing (TA). This causes a power conversion efficiency (PCE) enhancement in PDBD-FBT-based OPVs. Using PDBD-FBT as a polymer donor and 2,2 '-((2Z,2 ' Z)-((12,13-bis(2-heptylundecyl)-3,9-diundecyl-12,13-dihydro-[1,2,5]thiadiazolo[3,4-e]thieno[2 '',3 '':4 ',5 ']thieno[2 ',3 ':4,5]pyrrolo[3,2-g]thieno[2 ',3 ':4,5]thieno[3,2-b]indole-2,10-diyl)bis(methanylylidene))bis(5,6-difluoro-3-oxo-2,3-dihydro-1H-indene-2,1-diylidene))dimalononitrile (Y6-HU) as an electron acceptor, a PCE of 7.91% was achieved without any additive and TA at optimized active layer film thickness of approximately 100 nm. After TA, a PCE of 12.53% was achieved with a 58% increase compared with the reference devices. Owing to the strong crystallinities, trap-assisted recombination occurs by excessively formed grain boundaries; however, efficient exciton dissociation sufficiently covers these drawbacks. Even in the approximately 340 nm-thick film condition, this tendency is more pronounced (73% PCE enhancement is observed from 6.17% to 10.69% of PCE in the without and with TA devices, respectively). Our study demonstrates that it is possible to manufacture thickness-insensitive OPVs based on regioregular polymers with strong crystallinity and face-on characteristics, thereby providing a solution to the thickness variation of large-area organic solar cell modules

Room-Temperature Hydrogen Sensor with High Sensitivity and Selectivity using Chemically Immobilized Monolayer Single-Walled Carbon Nanotubes

Although semiconducting single-walled carbon nanotubes (sc-SWNTs) exhibit excellent sensing properties for various gases, commercialization is hampered by several obstacles. Among these, the difficulty in reproducibly fabricating sc-SWNT films with uniform density and thickness is the main one. Here, a facile fabrication method for sc-SWNT-based hydrogen (H-2) sensors with excellent reproducibility, high sensitivity, and selectivity against CO, CO2, and CH4 is reported. Uniform-density and monolayer sc-SWNT films are fabricated using chemical immobilized through the click reaction between azide-functionalized polymer-wrapped sc-SWNTs and immobilized alkyne polymer on a substrate before decorating with Pd nanoparticles (0.5-3.0 nm). The optimized sc-SWNT sensor has a high room-temperature response of 285 with the response and recovery times of 10 and 3 s, respectively, under 1% H-2 gas in air. In particular, this sensor demonstrates highly selective H-2 detection at room temperature (25 degrees C), compared to other gases and humidity. Therefore, the chemical immobilization of the monolayer SWNT films with reproducible and uniform density has the potential for large-scale fabrication of robust room-temperature H-2 sensors