BACKGROUND Many anaesthetists are deterred from using total i.v. anaesthesia because of uncertainty over the concentration of propofol required to prevent awareness. We predicted blood and effect-site concentrations of propofol at two clinical end-points: loss of consciousness and no response to a painful stimulus. METHODS Forty unpremedicated Caucasian patients were anaesthetized with i.v. p...

Transcutaneous immunization (TCI), the application of vaccines on the skin, induces robust systemic and mucosal antibodies in animal models and in humans. The means by which mucosal immune responses to vaccine antigens are elicited by TCI has not been well characterized. We examined the effect of TCI with an HIV peptide vaccine on the induction of mucosal and systemic CTL responses and protecti...

BACKGROUND Endoscopic retrograde cholangiopancreatography (ERCP) is a technique used both for diagnosis and for the treatment of biliary and pancreatic diseases. ERCP has some anesthetic implications and specific complications. The primary outcome aim was to compare two protocols in terms of time of extubation. We also compared anesthetic protocols in terms of hemodynamic and respiratory instab...

BACKGROUND This study evaluates the effectiveness of the target-controlled infusion (TCI) of remifentanil through stepwise increases in the effect-site concentration (C(eff)) in preventing coughs. METHODS In a preliminary study, we randomly selected 140 patients to receive remifentanil through two-step increases in C(eff) (1.0 ng/ml to 4.0 ng/ml: Group R(1-4); 2.0 ng/ml to 4.0 ng/ml: Group R(...

This study investigates the influence of meteorological parameters such as temperature and precipitation on gross primary production (GPP) in continental United States (CONUS) during boreal summer using satellite-based indices GPP data at various scales (i.e., pixel, county, state levels). The strong linear relationship between is presented around central States, particularly Great Plains, wher...

Droughts during the growing season are projected to increase in frequency and severity Central Europe future. Thus, area-wide monitoring of agricultural drought this region is becoming more important. In context, it essential know where when vegetation growth primarily water-limited whether remote sensing-based indices can detect these areas. To answer questions, we conducted a correlation anal...

BACKGROUND Most patients experience some degree of pain during extracorporeal shock waves lithotripsy (ESWL). AIM The aim of this study was to evaluate the effect of target-controlled infusion (TCI) of remifentanil or sufentanil and patient-controlled analgesia (PCA) with sufentanil or morphine for pain relief during ESWL. MATERIALS AND METHODS In a double blind, randomized clinical trial, ...

PURPOSE/OBJECTIVES To test the effectiveness of a two-to-three session family therapeutic conversation intervention (FAM-TCI) for primary and partner caregivers of children and adolescents in active cancer treatment on perceived family support and on expressive family functioning. DESIGN Quasiexperimental; one group pre- and post-test. SETTING Inpatient cancer unit and a day treatment cance...

Radiotherapy is one of the major clinical approaches for treatment of bone cancer pain. Activation of cAMP-PKA signaling pathway plays important roles in bone cancer pain. Here, we examined the effects of radiotherapy on bone cancer pain and accompanying abnormal activation of cAMP-PKA signaling. Female Sprague-Dawley rats were used and received tumor cell implantation (TCI) in rat tibia (TCI c...

BACKGROUND Target-controlled infusion (TCI) of propofol and remifentanil can provide satisfactory intubating conditions without a neuromuscular blocking agent. We compared the effect-site concentration of remifentanil required for intubation with the lightwand and the Macintosh laryngoscope during propofol TCI without a neuromuscular blocking agent in adult patients. METHODS Forty-nine patien...