Hemodynamic Impact of the Trendelenburg Position: A Systematic Review and Meta-analysis.

Objective: To systematically evaluate the impact of the Trendelenburg position on hemodynamic parameters in adult patients.

Design: Systematic literature review and meta-analysis using PubMed and Medline.

Setting: All prospective interventional studies comparing the hemodynamic characteristics of patients in the horizontal supine position and Trendelenburg position.

Molecular Modeling Methods in the Development of Affine and Specific Protein-Binding Agents.

High-affinity and specific agents are widely applied in various areas, including diagnostics, scientific research, and disease therapy (as drugs and drug delivery systems). It takes significant time to develop them. For this reason, development of high-affinity agents extensively utilizes computer methods at various stages for the analysis and modeling of these molecules.

The impact of inhalation versus total intravenous anesthesia on the immune status in patients undergoing breast cancer surgery: a double-blind randomized clinical trial (TeMP).

Background: Breast cancer (BC) mortality primarily stems from metastases rather than the primary tumor itself. Perioperative stress, encompassing both surgical and anesthetic factors, profoundly impacts the immune system, leading to alterations in neuroendocrine pathways and immune functions, potentially facilitating tumor progression and metastasis. Understanding the immunomodulatory effects of different anesthesia techniques is crucial for optimizing perioperative care in patients with BC.

Ancestral genetic components are consistently associated with the complex trait landscape in European biobanks.

The genetic structure in Europe was mostly shaped by admixture between the Western Hunter-Gatherers, Early European Farmers and Steppe Bronze Age ancestral components. Such structure is regarded as a confounder in GWAS and follow-up studies, and gold-standard methods exist to correct for it. However, it is still poorly understood to which extent these ancestral components contribute to complex trait variation in present-day Europe.

SGLT2 inhibitors activate pantothenate kinase in the human heart.

Inhibitors of sodium glucose cotransporter-2 (SGLT2i) demonstrate strong symptomatic and mortality benefits in the treatment of heart failure but appear to do so independently of SGLT2. The relevant pharmacologic target of SGLT2i remains unclear. We show here that SGLT2i directly activate pantothenate kinase 1 (PANK1), the rate-limiting enzyme that initiates the conversion of pantothenate (vitamin B5) to coenzyme-A (CoA), an obligate co-factor for all major pathways of fuel use in the heart.

Dependency of the drag coefficient on boundary layer stability beneath drifting sea ice in the central Arctic Ocean.

The ice-ocean drag coefficient and turning angle are crucial parameters in ice-ocean coupled simulations, determining the transfer of momentum between the two media. These parameters are often treated as constants regardless of the static stability at the ice-ocean interface. This study investigates the variability of and based on direct observations of thermal and kinetic energy balance.

Left ventricular unloading via percutaneous assist device during extracorporeal membrane oxygenation in acute myocardial infarction and cardiac arrest.

Introduction: A feared complication of an acute myocardial infarction (AMI) is cardiac arrest (CA). Even if return of spontaneous circulation is achieved, cardiogenic shock (CS) is common. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) supports patients with CS and is often used in conjunction with an Impella device (2.

A randomized, double-blind study to compare the efficacy and safety of nalbuphine nasal spray and injectable solution in patients after orthopaedic interventions and traumatological procedures.

Aims: Our previous 3-period crossover study in healthy volunteers comparing the pharmacokinetics of nalbuphine nasal spray Apain with parenteral nalbuphine solution demonstrated high bioavailability of the nasal spray and close similarity of pharmacokinetic profiles after intranasal and intramuscular administration, especially within 30 min postdose. The aim of the present study was a noninferiority assessment of nalbuphine nasal spray vs. intramuscular injection for pain relief in postoperative patients.

Adductor Canal Block Versus Femoral Nerve Block in Total Knee Arthroplasty: Network Meta-Analysis.

Objectives: The quality of postoperative analgesia in total knee arthroplasty is crucial for patient recovery, rehabilitation, and hospital stay duration. In line with the above, а single-shot adductor canal block has been considered as an improved method over continuous femoral nerve block. However, continuous adductor canal block and single-shot femoral nerve block have been not adequately addressed in the discussion.

Cobalt Ferrite Nanorods Synthesized with a Facile "Green" Method in a Magnetic Field.

We report a new facile method for the synthesis of prolate cobalt ferrite nanoparticles without additional stabilizers, which involves a co-precipitation reaction of Fe and Co ions in a static magnetic field. The magnetic field is demonstrated to be a key factor for the 1D growth of cobalt ferrite nanocrystals in the synthesis. Transmission electron microscopy (TEM), X-ray diffraction (XRD), and Raman spectroscopy are applied to characterize the morphology and structure of the obtained nanoparticles.

Hole-transporting interlayers based on pyrazine-containing conjugated polymers for perovskite solar cells.

Hybrid organic-inorganic perovskite solar cells (PSCs) have drawn great attention in the past decade due to the rapid growth of their power conversion efficiency (PCE) and the advantage of their low-cost fabrication. The hole-transport materials (HTMs) play a crucial role in achieving high efficiency and operational stability of PSCs. In this work, we report the synthesis of two novel conjugated polymers by coupling of the alkylsilyl-substituted benzo[1,2-:4,5-']dithiophene unit with the thiophene-bridged pyrazine block and their investigation as dopant-free HTMs in n-i-p PSCs.

[Texture analysis of 3D models for the prediction of the grade of clear cell renal cell carcinoma of the kidney (pilot study)].

Aim: To evaluate the possibilities of textural analysis of 3D models in differentiating the degree of nuclear dysplasia of the clear cell renal cell carcinoma (ccRCC).

Materials And Methods: The specimens after surgical treatment of 190 patients with ccRCC were analyzed. In all cases, nephron-sparing surgery (NSS) was performed through laparoscopic access.

AliNA - a deep learning program for RNA secondary structure prediction.

Nowadays there are numerous discovered natural RNA variations participating in different cellular processes and artificial RNA, e. g., aptamers, riboswitches.

Effect of mitochondrial circulation on mitochondrial age density distribution.

Recent publications report that although the mitochondria population in an axon can be quickly replaced by a combination of retrograde and anterograde axonal transport (often within less than 24 hours), the axon contains much older mitochondria. This suggests that not all mitochondria that reach the soma are degraded and that some are recirculating back into the axon. To explain this, we developed a model that simulates mitochondria distribution when a portion of mitochondria that return to the soma are redirected back to the axon rather than being destroyed in somatic lysosomes.

Multi-model chain for climate change scenario analysis to support coastal erosion and water quality risk management for the Metropolitan city of Venice.

Under the influence of anthropogenic climate change, hazardous climate and weather events are increasing in frequency and severity, with wide-ranging impacts across ecosystems and landscapes, especially fragile and dynamic coastal zones. The presented multi-model chain approach combines ocean hydrodynamics, wave fields, and shoreline extraction models to build a Bayesian Network-based coastal risk assessment model for the future analysis of shoreline evolution and seawater quality (i.e.

Remarkable Enhancement of Hole Mobility of Novel DA-D'-AD Small Molecules by Thermal Annealing: Effect of the D'-Bridge Block.

Conjugated small molecules are advanced semiconductor materials with attractive physicochemical and optoelectronic properties enabling the development of next-generation electronic devices. The charge carrier mobility of small molecules strongly influences the efficiency of organic and hybrid electronics based on them. Herein, we report the synthesis of four novel small molecules and their investigation with regard to the impact of molecular structure and thermal treatment of films on charge carriers' mobility.

Mitochondrial transport in symmetric and asymmetric axons with multiple branching junctions: a computational study.

Mitochondrial aging has been proposed to be involved in a variety of neurodegenerative disorders, such as Parkinson's disease. Here, we explore the impact of multiple branching junctions in axons on the mean age of mitochondria and their age density distributions in demand sites. The study examined mitochondrial concentration, mean age, and age density distribution in relation to the distance from the soma.

Development and Replication of a Genome-Wide Polygenic Risk Score for Chronic Back Pain.

Chronic back pain (CBP) is a complex heritable trait and a major cause of disability worldwide. We developed and validated a genome-wide polygenic risk score (PRS) for CBP using a large-scale GWAS based on UK Biobank participants of European ancestry (N = 265,000). The PRS showed poor overall predictive ability (AUC = 0.

Method and computer library for calculation of the Boltzmann collision integrals on discrete momentum lattice.

We present a general and numerically efficient method for calculation of collision integrals for interacting quantum gases on a discrete momentum lattice. Here we employ the original analytical approach based on Fourier transform covering a wide spectrum of solid-state problems with various particle statistics and arbitrary interaction models, including the case of momentum-dependent interaction. The comprehensive set of the transformation principles is given in detail and realized as a computer Fortran 90 library FLBE (Fast Library for Boltzmann Equation).

Comparative pharmacokinetics of nalbuphine nasal spray and solution for injection in healthy volunteers.

Aims: Nalbuphine is a synthetic opioid with comparable analgesic activity to morphine but with a better safety profile. Nalbuphine is only available in injectable form due to low oral bioavailability. Nasal nalbuphine spray provides advantages in drug safety, avoids hepatic first-pass metabolism, is non-invasive and is convenient for patient-controlled analgesia by self-administration.

Chamber Protection of Zinc with Ethylhexanoic Acid.

Chamber protection is a promising and quickly developing method of vapor-phase protection of metals against atmospheric corrosion by inhibitors. It was shown that chamber treatment with 2-ethylhexanoic acid (EHA) efficiently inhibits the initiation of zinc corrosion. The optimum conditions (temperature and duration) of zinc treatment with vapors of this compound were determined.

Genotype-by-environment interactions in chronic back pain.

Background Context: Chronic back pain (CBP) is a common debilitating condition with substantial societal impact. While understanding genotype-by-environment (GxE) interactions may be crucial to achieving the goals of personalized medicine, there are few large-scale studies investigating this topic for CBP. None of them systematically explore multiple CBP risk factors.