Influence of Nociception Level Monitor (NOL)-Guided Analgesic Delivery on Perioperative Course in Breast Surgeries: A Randomized Controlled Trial.

Breast cancer surgeries offer challenges in perioperative pain management, especially in the presence of inherent risk of postoperative nausea and vomiting (PONV) and postmastectomy pain syndrome (PMPS). Inappropriate opioid consumption was speculated as one of the reasons. Through this study, the influence of objective pain monitoring through a nociception level monitor (NOL) on perioperative course in breast surgeries was investigated.

Cryospray reduces pain during venous cannulation in elective surgery patients: a randomized placebo-controlled study.

Background: Venous cannulation is widely used in healthcare systems, and for many patients, it is painful and distressing. We hypothesized that the rapid onset of cryospray use would reduce pain from venous cannulation compared to the use of a placebo spray.

Methods: The trial was a prospective randomized placebo-controlled trial including 130 adult patients scheduled for elective surgery.

Decisions about the limitations of life-sustaining treatment for acutely admitted older patients: a retrospective study of a Danish patient cohort.

Background: Life-sustaining therapy, including heart and lung resuscitation and transfer to the intensive care department, is demanding for patients and relatives and utilizes large amounts of healthcare resources. For older patients acutely admitted to the hospital, very sparse data exist on decision making about life-sustaining therapy.

Methods: Retrospective data were extracted from patients ≥ 70 years old who were acutely admitted to the hospital.

Investigating the biological relevance of measuring gastrointestinal cortisol metabolite levels to assess stress responses in Atlantic salmon (Salmo salar L.) after an acute stress.

Monitoring stress levels of farmed Atlantic salmon (Salmo salar) is important to ensure fish welfare and optimize farm operations. Feces could be a promising matrix for assessing stress responses in fish, based on their properties of low-invasive sampling and allowing repeated sampling over time. Meanwhile, elevated levels of cortisol metabolites (CMs) in feces indicate the increases in plasma cortisol levels (PLA) after exposure to acute stress.

Recent European drying and its link to prevailing large-scale atmospheric patterns.

The extreme 2018 and 2022 droughts pose as recent examples of a series of drought events that have hit Europe over the last decades with wide ranging social, environmental and economic impacts. Although the link between atmospheric circulation and meteorological drought is clear and often highlighted during major drought events, there is a lack of in-depth studies linking historical changes in meteorological drought indices and prevailing large-scale atmospheric patterns in Europe. To meet this shortfall, we investigated the relation between changes in large-scale atmospheric patterns and meteorological drought, as indicated by the geopotential height at 500mb (Z500) and the Standardised Precipitation-Evapotranspiration Index (SPEI), respectively.