Cerebral and cardiovascular effects of analgesic doses of ketamine during a target controlled general anesthesia: a prospective randomized study

Introduction: Ketamine is increasingly being used in various pain settings. The purpose of this study was to assess the effect of an analgesic dose of ketamine in the bispectral index (BIS), spectral edge frequency (SEF-95), density spectral array (DSA), cerebral oximetry (rSO2) and mean arterial pressure (MAP) during general anaesthesia with a target controlled infusion. Methods: A prospective, single-blinded and randomized study on adult patients scheduled for elective spine surgery was carried out. After anaesthesia induction with propofol, remifentanil and rocuronium, when a stable BIS value (45-55) was achieved, an automatic recording of BIS, SEF-95, rSO2 and MAP values during 9 min was performed to establish patients baseline values. Subsequently, patients were randomly assigned to receive a ketamine bolus dose of 0.2 mg/kg, 0.5 mg/kg or 1 mg/kg; all variables were recorded for additional 9 min after the ketamine bolus, in the absence of any surgical stimulus. A p-value <0.05 was considered significant in the statistical analysis. Results and discussion: Thirty-nine patients were enrolled in the study. Our results show a dose-related increase of SEF-95 and BIS values. DSA demonstrate a shift in the frequency range and power distribution towards higher frequencies. Our results do not show significant differences in MAP and rSO2 values. Conclusion: When ketamine is used intraoperatively in analgesic doses, the anaesthetist should anticipate an increase in SEF-95 and BIS values which will not be associated with the level of anaesthesia.info:eu-repo/semantics/publishedVersio

Microalgae attachment to aerobic granular sludge for the treatment of freshwater aquaculture effluents

info:eu-repo/semantics/publishedVersio

Performance of microalgae-bacteria granular sludge for nutrient removal of freshwater aquaculture wastewater

info:eu-repo/semantics/publishedVersio

Blockade of adenosine A2A receptors prevents protein phosphorylation in the striatum induced by cortical stimulation

©2006 Society for NeurosciencePrevious studies have shown that cortical stimulation selectively activates extracellular signal-regulated kinase 1/2 (ERK1/2) phosphorylation and immediate early gene expression in striatal GABAergic enkephalinergic neurons. In the present study, we demonstrate that blockade of adenosine A2A receptors with caffeine or a selective A2A receptor antagonist counteracts the striatal activation of cAMP– protein kinase A cascade (phosphorylation of the Ser845 residue of the glutamate receptor 1 subunit of the AMPA receptor) and mitogenactivated protein kinase (ERK1/2 phosphorylation) induced by the in vivo stimulation of corticostriatal afferents. The results indicate that A2A receptors strongly modulate the efficacy of glutamatergic synapses on striatal enkephalinergic neurons.This work was supported by the Intramural Research Program of the National Institutes of Health, National Institute on Drug Abuse, Department of Health and Human Services

Surgical Treatment Of Traumatic Cervical Facet Dislocation: Anterior, Posterior Or Combined Approaches?

Surgical treatment is well accepted for patients with traumatic cervical facet joint dislocations (CFD), but there is uncertainty over which approach is better: anterior, posterior or combined. We performed a systematic literature review to evaluate the indications for anterior and posterior approaches in the management of CFD. Anterior approaches can restore cervical lordosis, and cause less postoperative pain and less wound problems. Posterior approaches are useful for direct reduction of locked facet joints and provide stronger fixation from a biomechanical point of view. Combined approaches can be used in more complex cases. Although both anterior and posterior approaches can be used interchangeably, there are some patients who may benefit from one of them over the other, as discussed in this review. Surgeons who treat cervical spine trauma should be able to perform both procedures as well as combined approaches to adequately manage CFD and improve patients' final outcomes.74974574

On Maltsev digraphs

The original publication is available at www.springerlink.com Copyright SpringerWe study digraphs preserved by a Maltsev operation, Maltsev digraphs. We show that these digraphs retract either onto a directed path or to the disjoint union of directed cycles, showing that the constraint satisfaction problem for Maltsev digraphs is in logspace, L. (This was observed in [19] using an indirect argument.) We then generalize results in [19] to show that a Maltsev digraph is preserved not only by a majority operation, but by a class of other operations (e.g., minority, Pixley) and obtain a O(V G4)-time algorithm to recognize Maltsev digraphs. We also prove analogous results for digraphs preserved by conservative Maltsev operations which we use to establish that the list homomorphism problem for Maltsev digraphs is in L. We then give a polynomial time characterisation of Maltsev digraphs admitting a conservative 2-semilattice operation. Finally, we give a simple inductive construction of directed acyclic digraphs preserved by a Maltsev operation.Peer reviewe

Micro/nano-structured superhydrophobic surfaces in the biomedical field: part I: basic concepts and biomimetic approaches

Part II is available at: http://hdl.handle.net/1822/44292Inspired by natural structures, great attention has been devoted to the study and development of surfaces with extreme wettable properties. The meticulous study of natural systems revealed that the micro/nano-topography of the surface is critical to obtaining unique wettability features, including superhydrophobicity. However, the surface chemistry also has an important role in such surface characteristics. As the interaction of biomaterials with the biological milieu occurs at the surface of the materials, it is expected that synthetic substrates with extreme and controllable wettability ranging from superhydrophilic to superhydrophobic regimes could bring about the possibility of new investigations of cellâ material interactions on nonconventional surfaces and the development of alternative devices with biomedical utility. This first part of the review will describe in detail how proteins and cells interact with micro/nano-structured surfaces exhibiting extreme wettabilities.AC Lima is grateful for financial support from Portuguese Foundation for Science and Technology (FCT) through the grant SFRH/BD/71395/2010 (under the scope of QRENPOPH – Tipologia 4.1 – Formação Avançada subsidized by European Social Found as well as by national funds of MEC). The authors also acknowledge the national funds from the FCT in the scope of project PTDC/CTM-BIO/1814/2012. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript

Time varying gravitational constant G via the entropic force

If the uncertainty principle applies to the Verlinde entropic idea, it leads to a new term in the Newton's second law of mechanics in the Planck's scale. This curious velocity dependence term inspires a frictional feature of the gravity. In this short letter we address that this new term modifies the effective mass and the Newtonian constant as the time dependence quantities. Thus we must have a running on the value of the effective mass on the particle mass $m$ near the holographic screen and the $G$. This result has a nigh relation with the Dirac hypothesis about the large numbers hypothesis (L.N.H.) [1]. We propose that the corrected entropic terms via Verlinde idea can be brought as a holographic evidence for the authenticity of the Dirac idea.Comment: Accepted for publication in "Communications in Theoretical Physics (CTP)",Major revisio

Editorial: Obesogens in the XXI century: Emerging health challenges

The global prevalence of overweight and obesity has risen dramatically in recent decades. Obesity is a major public health problem, recognized by the World Health Organization as one of the most important public health challenges of the 21st century (1). Therefore, preventing obesity is a public health priority for adults, children, and adolescents. This is especially important because overweight and obese children are likely to remain obese into adulthood and are more likely to develop non-communicable diseases such as diabetes and cardiovascular disease at a younger age. Several factors are thought to be involved in the obesity pandemic, but in recent years the focus has been on exposure to specific environmental pollutants, the obesogens. The obesogen hypothesis was postulated in 2006 by Grün and Blumberg (2). The authors found that tributyltin could induce adipogenesis in vitro and in vivo. This “simple” finding was a huge breakthrough in Endocrinology and Metabolism. In these almost two decades, a significant body of evidence was gathered, and currently, obesogens have been considered key actors in the obesity epidemic