Background: There is level II evidence that volunteers prefer the single subcutaneous injection in the midline of the proximal phalanx with lidocaine and epinephrine (SIMPLE) finger block over the classic two dorsal injection block technique. The purpose of this study was to possibly further decrease the pain of digital block injection by examining the effect of the duration of injection on the pain felt by volunteers receiving the SIMPLE block at two different injection rates.
Methods: Forty healthy blinded volunteers were injected 2 mL of lidocaine 1 % and epinephrine 1/100,000 in the digital palmar crease of both long fingers, one at a time. Two different rates of injection were used: 8 and 60 s. Pain scores were measured using a visual analogue scale and the volunteers were asked which of injection techniques they preferred.
Results: The visual analogue scale results revealed less pain with the slow injection (p < 0.001). Thirty three out of 40 volunteers preferred the slow injection rate. No difference could be attributed to sex of participants or to the first hand injected.
Conclusion: Blinded volunteers preferred digital blocks injected over 60 s to the more rapid 8 s. Decreasing the pain of injection only takes a minute of our valuable time for finger blocks.
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http://dx.doi.org/10.1007/s11552-012-9478-1 | DOI Listing |
J Bone Joint Surg Am
November 2024
Department of Neurosurgery, Bokwang Hospital, Daegu, Republic of Korea.
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View Article and Find Full Text PDFData Brief
February 2025
School of Engineering and Technology, University of New South Wales, Canberra, Australia.
This dataset is generated from real-time simulations conducted in MATLAB/Simscape, focusing on the impact of smart noise signals on battery energy storage systems (BESS). Using Deep Reinforcement Learning (DRL) agent known as Proximal Policy Optimization (PPO), noise signals in the form of subtle millivolt and milliampere variations are strategically created to represent realistic cases of False Data Injection Attacks (FDIA). These signals are designed to disrupt the State of Charge (SoC) and State of Health (SoH) estimation blocks within Unscented Kalman Filters (UKF).
View Article and Find Full Text PDFTight sandstone gas reservoirs are characterized by high water saturation, significant seepage resistance, low single-well productivity, rapid decline, and low gas recovery. Enhancing the recovery rate of tight sandstone gas reservoirs is a complex engineering challenge that necessitates thorough, refined, and systematic research into its fundamental theories. This study employs a comprehensive approach integrating mercury injection, nuclear magnetic resonance, micro-model visualization, and simulation experiments of displacement and inter-layer seepage flow, alongside foundational seepage theories, to systematically explore the characteristics of tight sandstone gas reservoirs, seepage patterns, and methods for improving gas recovery.
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Department of Burn and Plastic Surgery, Hainan Hospital of Chinese PLA General Hospital, Sanya, China.
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Background: It is generally accepted that the greater palatine nerve and artery supply the palatal mucosa, gingiva, and glands, but not the bone or tooth adjacent to those tissues. When the bony palate is observed closely, multiple small foramina are seen on the palatal surface of the alveolar process. The authors hypothesized that the greater palatine nerve and artery might supply the maxillary teeth via the foramina on the palatal surface of the alveolar process and the superior alveolar nerve and artery.
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