Transversus abdominis plane block reduces remifentanil and propofol consumption, evaluated by closed-loop titration guided by bispectral index.

The present prospective, randomized, double-blind study aimed to determine the impact of transversus abdominis plane (TAP) block on propofol and remifentanil consumption, when administered by closed-loop titration guided by processed electroencephalography, i.e., bispectral index (BIS) values. Following institutional review board approval, 60 patients were scheduled for laparoscopic colectomy under general anesthesia. Patients were randomly assigned to receive bilateral TAP block with 20 ml 0.375% ropivacaine (TAP group) or 20 ml 0.9% saline [control (CON) group]. General anesthesia was maintained with propofol and remifentanil administration using closed-loop titration guided by BIS values. The primary outcome was perioperative propofol and remifentanil consumption. The secondary outcomes were hypertensive or hypotensive events requiring treatment, recovery time in PACU and time to first rescue analgesia following surgery. A total of 58 patients participated in the present study. At similar depths of anesthesia, as measured by BIS during the maintenance phase (45-55), patients who received TAP blocks required less propofol (4.2±1.3 vs. 5.5±1.6 mg/kg/h; P<0.001) and remifentanil (0.16±0.05 vs. 0.21±0.05 µg/kg/min; P<0.001). Time to extubation was significantly shorter in the TAP group (9.8±3.2 min) than in the CON group (14.2±4.9 min) (P<0.05). The requirement to treat hemodynamic change was also significantly lower (P<0.05). Pain score at 2 h after surgery was also significantly reduced in the TAP group compared with the CON group (P<0.05), whereas the time to first rescue analgesia was delayed in patients who received TAP block (P<0.05). Postoperative nausea and vomiting occurred at comparable rates in each group (P>0.05). In conclusion, TAP block combined with general anesthesia reduced propofol and remifentanil consumption, shortened time to tracheal extubation and promoted hemodynamic stability in laparoscopic colectomy

Influence of obstructive sleep apnea on serum butyrylcholinesterase activity and ischemia-modified albumin levels

OBJECTIVE: To investigate the effect of obstructive sleep apnea and continuous positive airway pressure treatment on serum butyrylcholinesterase activity and ischemia-modified albumin levels. METHODS: Thirty-two patients with obstructive sleep apnea and 30 age- and sex-matched controls were enrolled and underwent a diagnostic polysomnogram. The serum butyrylcholinesterase activity, ischemia-modified albumin levels, metabolic parameters, and polysomnography scores were detected and evaluated. Nine patients were studied before and after treatment with continuous positive airway pressure. RESULTS: The serum ischemia-modified albumin levels were significantly higher and the butyrylcholinesterase activity was significantly lower in patients with obstructive sleep apnea than in the controls (

Cost Function based Soft Feedback Iterative Channel Estimation in OFDM Underwater Acoustic Communication

Underwater Acoustic (UWA) communication is mainly characterized by bandwidth limited complex UWA channels. Orthogonal Frequency Division Multiplexing (OFDM) solves the bandwidth problem and an efficient channel estimation scheme estimates the channel parameters. Iterative channel estimation refines the channel estimation by reducing the number of pilots and coupling the channel estimator with channel decoder. This paper proposes an iterative receiver for OFDM UWA communication, based on a novel cost function threshold driven soft decision feedback iterative channel technique. The receiver exploits orthogonal matching pursuit (OMP) channel estimation and low density parity check (LDPC) coding techniques after comparing different channel estimation and coding schemes. The performance of the proposed receiver is verified by simulations as well as sea experiments. Furthermore, the proposed iterative receiver is compared with other non-iterative and soft decision feedback iterative receivers

Curcumin Blocks Small Cell Lung Cancer Cells Migration, Invasion, Angiogenesis, Cell Cycle and Neoplasia through Janus Kinase-STAT3 Signalling Pathway

Curcumin, the active component of turmeric, has been shown to protect against carcinogenesis and prevent tumor development. However, little is known about its anti-tumor mechanism in small cell lung cancer (SCLC). In this study, we found that curcumin can inhibit SCLC cell proliferation, cell cycle, migration, invasion and angiogenesis through suppression of the STAT3. SCLC cells were treated with curcumin (15 µmol/L) and the results showed that curcumin was effective in inhibiting STAT3 phosphorylation to downregulate of an array of STAT3 downstream targets ,which contributed to suppression of cell proliferation, loss of colony formation, depression of cell migration and invasion. Curcumin also suppressed the expression of proliferative proteins (Survivin, Bcl-XL and Cyclin B1), and invasive proteins (VEGF, MMP-2, MMP-7 and ICAM-1).Knockdown of STAT3 expression by siRNA was able to induce anti-invasive effects in vitro. In contrast, activation of STAT3 upstream of interleukin 6 (IL-6) leads to the increased cell proliferation ,cell survival, angiogenesis, invasion, migration and tumor growth. Our findings illustrate the biologic significance of IL-6/JAK/STAT3 signaling in SCLC progression and providenovel evidence that the pathway may be a new potential target for therapy of SCLC. It was concluded that curcumin is a potent agent in the inhibition of STAT3 with favorable pharmacological activity,and curcumin may have translational potential as an effective cancer therapeutic or preventive agent for SCLC

Two-dimensional superconductivity at heterostructure of Mott insulating titanium sesquioxide and polar semiconductor

Heterointerfaces with symmetry breaking and strong interfacial coupling could give rise to the enormous exotic quantum phenomena. Here, we report on the experimental observation of intriguing two-dimensional superconductivity with superconducting transition temperature ($T_c$) of 3.8 K at heterostructure of Mott insulator Ti$_2$O$_3$ and polar semiconductor GaN revealed by the electrical transport and magnetization measurements. Furthermore, at the verge of superconductivity we find a wide range of temperature independent resistance associated with vanishing Hall resistance, demonstrating the emergence of quantum metallic-like state with the Bose-metal scenario of the metallic phase. By tuning the thickness of Ti$_2$O$_3$ films, the emergence of quantum metallic-like state accompanies with the appearance of superconductivity as decreasing in temperature, implying that the two-dimensional superconductivity is evolved from the quantum metallic-like state driven by the cooperative effects of the electron correlation and the interfacial coupling between Ti$_2$O$_3$ and polar GaN. These findings provide a new platform for the study of intriguing two-dimensional superconductivity with a delicate interplay of the electron correlation and the interfacial coupling at the heterostructures, and unveil the clues of the mechanism of unconventional superconductivity.Comment: 17 pages, 4 figure