Combination of lumbar erector spinae plane block and transmuscular quadratus lumborum block for surgical anaesthesia in hemiarthroplasty for femoral neck fracture

Femur neck fractures may occur in elderly patients with multiple co-morbidities. Spinal or general anaesthesia may not be safe in such patients, leading to a search for other safer alternatives. Herein, we report a case in which a never previously reported combination of quadratus lumborum block (QLB) and erector spinae plane block (ESPB) was successfully used as the main anaesthetic method for hemiarthroplasty. An 86-year-old female patient with severe aortic stenosis was scheduled for internal fixation or hemiarthroplasty due to right femoral neck fracture. Following sedoanalgesia, the patient was placed in lateral decubitis position and ESPB and transmuscular QLB were performed from the fourth lumbar vertebra level. Adequate and effective surgical anaesthesia was achieved and hemiarthroplasty was performed. The combination of lumbar ESPB and QLB can be used for the anaesthesia management in high-risk patients undergoing hemiarthroplasty

Fuel effects on Li2CuP2O7 synthesized by solution combustion method for lithium-ion batteries

Lithium copper pyrophosphate has been synthesized by the solution combustion method for the first time. Urea and hexamethylenetetramine were used as fuel. The samples were successfully prepared in low reaction temperature and short reaction time. The products were structurally characterized by FT-IR and p-XRD. Thermal behavior of samples was also investigated through TG/DT analyses. Magnetic measurements showed that the urea- and hexamethylenetetramine-assisted Li2CuP2O7 were paramagnetic at room temperature. Surface analyses indicated that the fuel types changed the surface properties of samples because of exothermic redox reaction during combustion, and electrochemical performances showed clear differences. The charge capacity of urea- and hexamethylenetetramine-assisted synthesized Li2CuP2O7 was calculated as 180 mAhg−1 and 146 mAhg−1. Synthesis method enlarged the charge capacity and prepared lithium copper pyrophosphate to have a potential for use in lithium-ion batteries

Establishing Genetic Relation between a Marker Locus and Fungal Disease in Grapevine Using Multidimensional Scaling Analysis

WOS: 000285236000028In a hybrid population of Italia (female) and Mercan (male) grape cultivars with their 60 offsprings a classical two point linkage analysis was attempted with 300 RAPD 20 SSR and 24 AFLP primers using Mapmaker/Exp 30 Linkage groups of 12 in Italia and 4 in Mercan were attained with 25 and 8 marker loci respectively Resistance phenotypes and segregating characteristics were scored as quantitative traits in two growing seasons MDS analysis was performed to examine the relationship between the marker loci and the fungal diseases powdery and downy mildew both of which developed naturally on the progenies Results of the MDS showed that five and eight marker loci were in close relationship with the powdery and downy mildew respectively The R-2 was 62 12% which considered as acceptable fit and the stress coefficient was 026TUBITAKTurkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK) [TARP 2189]This study was a derivation of combined data obtained from the two separate PhD theses fulfilled by Z Gokbayrak and B Isci We gratefully acknowledge the financial support from TUBITAK (Project Code Number TARP 2189) We also would like to thank Mehmet Mendes (Canakkale Onsekiz Mart University) for his invaluable help in statistical analysi

[YouTube as an informational source for brachial plexus blocks: evaluation of content and educational value].

YouTube, the most popular video-sharing website, contains a significant number of medical videos including brachial plexus nerve blocks. Despite the widespread use of this platform as a medical information source, there is no regulation for the quality or content of the videos. The goals of this study are to evaluate the content of material on YouTube relevant to performance of brachial plexus nerve blocks and its quality as a visual digital information source

YouTube as an information source of spinal anesthesia, epidural anesthesia and combined spinal and epidural anesthesia

Introduction: Social media as YouTube have become a part of daily life and many studies evaluated health-related YouTube videos. Our aim was to evaluate videos available on YouTube for the conformity to textbook information and their sufficiency as a source for patient information. Material and method: A search of the YouTube website was performed using the keywords “spinal anesthesia, epidural anesthesia, combined spinal epidural anesthesia”. Firstly, 180 videos were evaluated and the characteristics of the video were noted, and the features of the video too were noted if the video was regarding neuraxial anesthesia. Questionnaire 1 (Q1) evaluating the video quality relating to neuraxial anesthesia was designed using a textbook as reference and questionnaire 2 (Q2) was designed for evaluating patient information. Results: After exclusions, 40 videos were included in the study. There was no difference in Q1 or Q2 scores when videos were grouped into 4 quarters according to their appearance order, time since upload or views to length rate (p > 0.05). There was no statistical difference between Q1 or Q2 scores for spinal, epidural or combined videos (p > 0.05). Videos prepared by a healthcare institute have a higher score in both Questionnaires 1 and 2 (10.87 ± 4.28 vs. 5.84 ± 2.90, p = 0.044 and 3.89 ± 5.43 vs. 1.19 ± 3.35, p = 0.01 respectively). Conclusion: Videos prepared by institutes, societies, etc. were of higher educational value, but were still very lacking. Videos should be prepared in adherence to available and up-to-date guidelines taking into consideration appropriate step by step explanation of each procedure, patient safety and frequently asked questions. Resumo: Introdução: As mídias sociais como o YouTube tornaram-se uma parte do cotidiano e muitos estudos avaliaram vídeos do YouTube relacionados à saúde. Nosso objetivo foi avaliar os vídeos disponíveis no YouTube para identificar a existência de conformidade com as informações em livros didáticos e sua suficiência como fonte de informação para o paciente. Material e método: Uma pesquisa no site YouTube foi realizada usando as palavras-chave spinal anesthesia, epidural anesthesia, combined spinal-epidural anesthesia (raquianestesia, anestesia peridural, anestesia combinada raqui peridural). Em primeiro lugar, avaliamos 180 vídeos e observando suas características e se eram referentes à anestesia neuraxial. O questionário de avaliação da qualidade do vídeo (Q1) relativa à anestesia neuraxial foi criado usando um livro didático como referência e o questionário 2 (Q2) foi criado para avaliar as informações ao paciente. Resultados: Após exclusões, 40 vídeos foram incluídos no estudo. Não houve diferença nos escores de Q1 ou Q2 quando os vídeos foram agrupados em quatro categorias de acordo com a ordem de aparecimento, tempo de upload ou taxa de tempo de visualização (p > 0,05). Não houve diferença estatística entre os escores de Q1 ou Q2 para os vídeos raquianestesia, peridural ou combinada (p > 0,05). Os vídeos preparados por um instituto de saúde obtiveram escores mais elevados em ambos Q1 e Q2 (10,87 ± 4,28 vs. 5,84 ± 2,90, p = 0,044 e 3,89 ± 5,43 vs. 1,19 ± 3,35, p = 0,01, respectivamente). Conclusão: Os vídeos elaborados por institutos, sociedades etc. apresentaram um valor educativo maior, mas ainda muito incompleto. Os vídeos devem ser preparados em conformidade com as diretrizes atualizadas e disponíveis, com explicações adequadas e detalhadas sobre cada procedimento, segurança do paciente e perguntas mais frequentes. Keywords: Youtube, Anesthesia, Spinal, Epidural, Palavras-chave: YouTube, Anestesia, Raquidiana, Peridura