Superior Block Length and Reduced Opioid Use with Dexmedetomidine and Dexamethasone regional block versus plain Ropivacaine: a retrospective trial.

Purpose: The purpose of this study is to determine if using a combination of dexamethasone and dexmedetomidine (Dex-Dex) in a single-shot perineural local anesthestic provides an increased duration of pain relief and reduced consumption of opioids for patients undergoing shoulder surgery.

Patients And Methods: This is a retrospective trial of adult patients without major comorbidities undergoing elective, upper arm orthopedic procedures with regional nerve block for post-operative analgesia. Patients underwent nerve block with either 0.

An Auxiliary Medical Education: The Evolution of a Medical Student-Founded Organization in Response to the COVID-19 Era Personal Protective Equipment Shortage.

At the outset of the COVID-19 pandemic, many medical students were removed from clinical duties and had their education put on hold. Some found novel ways to join efforts to respond to the pandemic. Georgetown University School of Medicine medical students created Medical Supply Drive (MSD or MedSupplyDrive), a 501(c)(3), on March 17, 2020, in response to the national shortage of personal protective equipment (PPE).

Chemosensory cues alter earthworm (Eisenia fetida) avoidance of lead-contaminated soil.

Earthworms were shown to significantly avoid soils spiked with Pb at concentrations lower than or comparable to concentrations that demonstrate significant effects for other endpoints. It was also shown that inclusion of a microorganism-produced volatile compound that attracts earthworms, ethyl valerate, decreased avoidance of spiked soils. These findings suggest that care should be taken when analyzing earthworm avoidance of soils in which microorganism communities are not controlled.