background many multimodal analgesia techniques have been tried to provide adequate analgesia for midline incisions extending above and below the umbilicus aiming at limiting the perioperative use of morphine thus limiting side effects. ultrasound (us) guidance made the anesthesiologist reconsider old techniques for wider clinical use. the rectus sheath block (rsb) is a useful technique under-u...

In the last decades, many efforts have been made to solve multimodal optimization problems using Particle Swarm Optimization (PSO). To produce good results, these PSO algorithms need to specify some niching parameters to define the local neighborhood. In this paper, our motivation is to propose the novel neighborhood structures that remove undesirable niching parameters without sacrificing perf...

backround: we aimed to evaluate analgesic efficacy, opioid-sparing, and opioid-related adverse effects of intravenous paracetamol and intravenous dexketoprofen trometamol in combination with iv morphine after total abdominal hysterectomy. materials and methods: sixty american society of anesthesiologist physical status classification i-ii patients scheduled for total abdominal hysterectomy were...

background complications and postoperative pain are major care problems that can affect the quality of health care plan. objectives according to the use of multimodal therapy the current study aimed to compare the efficacy of gabapentin and celecoxib in pain management and complications after laminectomy at ilam university of medical sciences, ilam, iran, in 2015. patients and methods in this r...

Numerous algorithms have been proposed to solve the shortest-pathproblem; many of them consider a single-mode network and crispcosts. Other attempts have addressed the problem of fuzzy costs ina single-mode network, the so-called fuzzy shortest-path problem(FSPP). The main contribution of the present work is to solve theoptimum path problem in a multimodal transportation network, inwhich the co...

objective: the main purpose of this study was to investigate the effectiveness of lazarus multimodal psychotherapy (mmt) on perceived stress in individuals with multiple sclerosis (ms). methods: through a quasi-experimental design, forty patients in qazvin city in iran were selected by convenient sampling and then divided into two groups: experimental and control groups. after group assignment,...

background: pain control after traumatic maxillofacial surgery due to severity of pain and limitations of opioids use in these patients is of particular importance. the aim of this study was to evaluate the multimodal analgesic effect of oral gabapentin and intramuscular ketorolac in combination with intravenous acetaminophen for pain control after remifentanyl infusion in this surgery. methods...