Does perioperative electroacupuncture reduce postoperative pain in dogs undergoing ovariohysterectomy?

Introduction: This study aimed to investigate the analgesic efficacy of perioperative electroacupuncture in fifty-six healthy female dogs undergoing ovariohysterectomy as part of a catch-neuter-release project.

Materials And Methods: Ten minutes after sedation with 20 μg/kg medetomidine combined with 0.3 mg/kg butorphanol intramuscularly, the dogs were randomly allocated into two groups and received either electroacupuncture (EA, = 27) or sham acupuncture (C, = 29) treatment for 10 min (after sedation until the end of the surgery) at 6 different acupuncture points LI-4 (Large intestine 4), LIV-3 (Liver 3), ST-36 (Stomach 36), SP-6 (Spleen 6) bilateral.

Stereotactic Radiosurgery for 1-10 Brain Metastases to avoid Whole-Brain Radiotherapy - Results of the CYBER-SPACE Randomized Phase 2 Trial.

Background: Stereotactic Radiosurgery (SRS) is an emerging alternative to whole-brain radiotherapy (WBRT) for treating multiple brain metastases (BM), reducing toxicity and improving tumor control. The CYBER-SPACE trial compared SRS based on either SPACE or MPRAGE MRI sequence for avoiding or delaying WBRT in patients with 1-10 BM.

Methods: Patients with 1-10 untreated BM were randomized 1:1 to receive SRS of all lesions based on either SPACE or MPRAGE MRI sequences.

Antinociceptive and Cardiorespiratory Effects of a Single Dose of Dexmedetomidine in Laboratory Mice Subjected to Craniotomy under General Anaesthesia with Isoflurane and Carprofen or Meloxicam.

Pain refinement represents an important aspect of animal welfare in laboratory animals. Refining analgesia regimens in mice undergoing craniotomy has been sparsely investigated. Here, we sought to investigate the effect of dexmedetomidine in combination with other analgesic drugs on intraoperative anti-nociceptive effects and cardiorespiratory stability.

[Update 2022: interdisciplinary statement on airway management with supraglottic airway devices in pediatric emergency medicine-The laryngeal mask is and remains state of the art : Joint statement of the Institute for Emergency Medicine and Medicine Management (INM), the University Clinic Munich, LMU Munich, Germany, the Working Group for Pediatric Critical Care and Emergency Medicine of the German Interdisciplinary Society for Critical Care and Emergency Medicine (DIVI), the Medical Directors of Emergency Medical Services in Bavaria (ÄLRD), the Scientific Working Group for Pediatric Anesthesia (WAKKA) of the German Society for Anesthesiology and Intensive Care Medicine (DGAI), the Scientific Working Group for Emergency Medicine of the German Society for Anesthesiology and Intensive Care Medicine (DGAI) and the Society of Neonatology and Pediatric Critical Care Medicine (GNPI)].

Background: Airway management with supraglottic airway devices (SGA) in life-threatening emergencies in children is increasingly being used. Different specifications of laryngeal masks (LM) and the laryngeal tube (LT) are commonly used devices for this purpose. We present a literature review and interdisciplinary consensus statement of different societies on the use of SGA in pediatric emergency medicine.

Upfront and Repeated Stereotactic Radiosurgery in Patients With Brain Metastases From NSCLC.

Introduction: Approximately 40% of non-small-cell lung cancer (NSCLC) patients develop brain metastases (BM). Stereotactic radiosurgery (SRS) instead of whole-brain radiotherapy (WBRT) is increasingly administered as an upfront treatment to patients with a limited number of BM. We present outcomes and validation of prognostic scores for these patients treated with upfront SRS.

Gas Evolution in Lithium-Ion Batteries: Solid versus Liquid Electrolyte.

Gas evolution in conventional lithium-ion batteries using Ni-rich layered oxide cathode materials presents a serious issue that is responsible for performance decay and safety concerns, among others. Recent findings revealed that gas evolution also occurred in bulk-type solid-state batteries. To further clarify the effect that the electrolyte has on gassing, we report in this work-to the best of our knowledge-the first study comparing gas evolution in lithium-ion batteries with NCM622 cathode material and different electrolyte types, specifically solid (β-LiPS and LiPSCl) versus liquid (LP57).

Highly Reversible Sodiation of Tin in Glyme Electrolytes: The Critical Role of the Solid Electrolyte Interphase and Its Formation Mechanism.

Utilization of high-capacity alloying anodes is a promising yet extremely challenging strategy in building high energy density alkali-ion batteries (AIBs). Excitingly, it was very recently found that the (de-)sodiation of tin (Sn) can be a highly reversible process in specific glyme electrolytes, enabling high specific capacities close to the theoretical value of 847 mA h g. The unique solid electrolyte interphase (SEI) formed on Sn electrodes, which allows highly reversible sodiation regardless of the huge volume expansion, is herein demonstrated according to a series of in situ and ex situ characterization techniques.

Silicon Nanoparticles with a Polymer-Derived Carbon Shell for Improved Lithium-Ion Batteries: Investigation into Volume Expansion, Gas Evolution, and Particle Fracture.

Silicon (Si) and composites thereof, preferably with carbon (C), show favorable lithium (Li) storage properties at low potential, and thus hold promise for application as anode active materials in the energy storage area. However, the high theoretical specific capacity of Si afforded by the alloying reaction with Li involves many challenges. In this article, we report the preparation of small-size Si particles with a turbostratic carbon shell from a polymer precoated powder material.

Phase Transformation Behavior and Stability of LiNiO Cathode Material for Li-Ion Batteries Obtained from In Situ Gas Analysis and Operando X-Ray Diffraction.

Ni-rich layered oxide cathode materials, in particular the end member LiNiO , suffer from drawbacks such as high surface reactivity and severe structural changes during de-/lithiation, leading to accelerated degradation and limiting practical implementation of these otherwise highly promising electrode materials in Li-ion batteries. Among all known phase transformations occurring in LiNiO , the one from the H2 phase to the H3 phase at high state of charge is believed to have the most detrimental impact on the material's stability. In this work, the multistep phase transformation process and associated effects are analyzed by galvanostatic cycling, operando X-ray diffraction, and in situ pressure and gas analysis.

High-Entropy Oxides: Fundamental Aspects and Electrochemical Properties.

High-entropy materials, especially high-entropy alloys and oxides, have gained significant interest over the years due to their unique structural characteristics and correlated possibilities for tailoring of functional properties. The developments in the area of high-entropy oxides are highlighted here, with emphasis placed on their fundamental understanding, including entropy-dominated phase-stabilization effects and prospective applications, e.g.

Increasing Impact by Mechanical Resonance for Teleoperated Hammering.

Series elastic actuators (SEAs) are interesting for usage in harsh environments as they are more robust than rigid actuators. This paper shows how SEAs can be used in teleoperation to increase output velocity in dynamic tasks. A first experiment is presented that tested human ability to achieve higher hammerhead velocities with a flexible hammer than with a rigid hammer, and to evaluate the influence of the resonance frequency.

Origin of Carbon Dioxide Evolved during Cycling of Nickel-Rich Layered NCM Cathodes.

Gas formation caused by parasitic side reactions is one of the fundamental concerns in state-of-the-art lithium-ion batteries because gas bubbles might block local parts of the electrode surface, hindering lithium transport and leading to inhomogeneous current distributions. Here, we elucidate on the origin of CO, which is the dominant gaseous species associated with the layered lithium nickel cobalt manganese oxide (NCM) cathode, by implementing isotope labeling and electrolyte substitution in differential electrochemical mass spectrometry-differential electrochemical infrared spectroscopy measurements. LiCO on the NCM surface was successfully labeled with C via a process that involves its removal followed by intentional growth.

Haptic Guidance on Demand: A Grip-Force Based Scheduling of Guidance Forces.

In haptic shared control systems (HSC), a fixed strength of guidance force equates to a fixed level of control authority, which can be insufficient for complex tasks. An adaptable control authority based on operator input can allow the HSC system to better assist the operator under varied conditions. In this paper, we experimentally investigate () an adaptable authority HSC system that provides the operator with a direct way to adjust the control authority based on applied grip force.

High-Throughput in Situ Pressure Analysis of Lithium-Ion Batteries.

Many degradation processes in lithium-ion batteries are accompanied by gas evolution and therefore lead to an increase in internal cell pressure. This causes serious safety concerns for state-of-the-art lithium-ion batteries, calling for a thorough investigation of the origin and the magnitude of such processes. Herein we introduce a multichannel in situ pressure measurement system that allows for the high-throughput quantification of gas evolution under realistic battery conditions.

[Home Treatment].

Home Treatment (HT) means acute psychiatric treatment in the patient's usual environment. Conceptually, HT is to be differentiated from other home-based services: It is limited with regard to duration and multiprofessional (e. g.

[Interdisciplinary consensus statement on alternative airway management with supraglottic airway devices in pediatric emergency medicine: Laryngeal mask is state of the art].

Background: Airway management with supraglottic airway devices (SGA) in life-threatening emergencies involving children is becoming increasingly more important. The laryngeal mask (LM) and the laryngeal tube (LT) are devices commonly used for this purpose. This article presents a literature review and consensus statement by various societies on the use of SGA in pediatric emergency medicine.

Time domain passivity controller for 4-channel time-delay bilateral teleoperation.

This paper presents an extension of the time-domain passivity control approach to a four-channel bilateral controller under the effects of time delays. Time-domain passivity control has been used successfully to stabilize teleoperation systems with position-force and position-position controllers; however, the performance with such control architectures is sub-optimal both with and without time delays. This work extends the network representation of the time-domain passivity controller to the four-channel architecture, which provides perfect transparency to the user without time delay.

A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management.

A 77-year-old man suffered hypoxemic cardiac arrest by supraglottic and tracheal airway obstruction in the emergency department. A previously unknown cervical fracture had caused a traumatic retropharyngeal-mediastinal hematoma. A lifesaving surgical emergency tracheostomy succeeded.

Kinematic design to improve ergonomics in human machine interaction.

This paper introduces a novel kinematic design paradigm for ergonomic human machine interaction. Goals for optimal design are formulated generically and applied to the mechanical design of an upper-arm exoskeleton. A nine degree-of-freedom (DOF) model of the human arm kinematics is presented and used to develop, test, and optimize the kinematic structure of an human arm interfacing exoskeleton.

Perioperative monitoring of circulating and central blood volume in cardiac surgery by pulse dye densitometry.

Objective: To determine perioperative changes in circulating (BVI) and central blood volume (CBVI) by a new dye dilution technique using pulse dye densitometry.

Design And Setting: Prospective observational study in the cardiac anesthesia and intensive care unit of a university hospital.

Patients: Sixty-six patients undergoing coronary artery bypass surgery.

[Emergency management of an acute rupture of a perforated thoracic aortic aneurysm].

The emergency medical service was called to a 60-year-old woman with intensive chest pain, signs of shock, dyspnoea, intermittent paraesthesia of the right leg and disturbance of consciousness. With the diagnosis of an acute rupture of an aneurysm of the thoracic aorta, the patient was stabilised with volume, catecholamines, intubation and mechanical ventilation before being rushed to the preinformed department of cardiovascular surgery. The diagnosis was verified by transesophageal echocardiography immediately and the patient underwent surgery 2 h after onset of symptoms.

Coincidence of pro- and anti-inflammatory responses in the early phase of severe sepsis: Longitudinal study of mononuclear histocompatibility leukocyte antigen-DR expression, procalcitonin, C-reactive protein, and changes in T-cell subsets in septic and postoperative patients.

Objective: To determine the time course of histocompatibility leukocyte antigen (HLA)-DR expression in peripheral blood mononuclear cells and their relationship to markers of inflammation, organ function, and outcome during severe sepsis.

Design: Prospective, longitudinal study.

Setting: University hospital intensive care unit.

Cardiac output measurement by pulse dye densitometry: a comparison with the Fick's principle and thermodilution method.

Objective: To evaluate the agreement between cardiac output (CO) measurements obtained by a new dye dilution technique using pulse dye densitometry (PDD) and thermodilution (TD) and the direct Fick method (F).

Design And Setting: Prospective clinical study in a university hospital, cardiac surgery intensive care unit.

Patients: Fifty-eight cardiac surgery patients after admission to the intensive care unit (six were excluded due to a low pulse signal quality using the PDD method).