Background:Neuraxial anesthesia greatly expands the anesthesiologist armamentarium, providing alternatives to general anesthesia, especially in the lower abdominal surgeries. Clonidine, an alpha-2 adrenergic agonist, has a variety of actions, including potentiation of effects of local anesthetics. This study was undertaken to assess the degree of sensory and motor block and postoperative analgesia provided by low dose (50 mcg) intrathecal clonidine admixed with bupivacaine.Aims:The aim of this study is to establish efficacy and safety of intrathecal clonidine as adjuvant to bupivacaine.Settings and Design:The type of the study was double-blind randomized trial.Materials and Methods:Hundred patients were randomly allocated in two groups, A and B. Group A received bupivacaine 0.5%, 3 ml with placebo (normal saline 0.33 ml) and Group B, bupivacaine 0.5%, 3 ml with clonidine 50 μg (0.33 ml).Statistical Analysis Used:Statistical Package for Social Sciences version 15.0 statistical analysis software.Results:Mean duration of motor block was significantly higher in Group B (280.80 ± 66.88 min) as compared with Group A (183.60 ± 77.06 min). Significant difference in duration of sensory block was noted between Group B (295.20 ± 81.17 min) and Group A (190.80 ± 86.94 min). Duration of postoperative analgesia was significantly higher in Group B as compared to Group A (551.06 ± 133.64 min and 254.80 ± 84.19 min respectively). Mean visual analog scale scores at different time intervals were significantly lower in the study group (except for 4-h time interval), but the control group had better hemodynamic stability as compared with study group.Conclusion:The findings in this study suggested that use of clonidine 50 μg added to bupivacaine for spinal anesthesia effectively increased the duration of sensory block, duration of motor block, and duration of analgesia.
Quantum mechanical optical model methods for calculating isotope production cross sections from the spallation of heavy nuclei by high-energy protons are developed from a modified abrasion-ablation collision formalism. The abrasion step is treated quantum-mechanically as a knockout process which leaves the residual prefragment nucleus in an excited state. In ablation the prefragment deexcites to produce the final fragment. The excitation energies of the prefragments are estimated from a combination of liquid drop and frictional-spectator interaction considerations. Estimates of elemental and isotopic production cross sections are in good agreement with recently published cross section measurements.
Context:Laryngoscopy and endotracheal intubation activates the sympathetic nervous system, causing tachycardia and hypertension. Dexmedetomidine has an affinity for alpha2 receptors 8 times greater than that of clonidine. It diminishes norepinephrine release and inhibits sympathetic activity leading to decreased heart rate (HR) and blood pressure.Aims:The aim was to compare the effect of intravenous (IV) infusion of dexmedetomidine and clonidine on the pressor response among patients undergoing tracheal intubation in elective surgeries under general anesthesia.Settings and Design:A prospective, randomized control study.Subjects and Methods:Seventy-five adult patients of age 18-55 years in American Society of Anesthesiologists physical status I and II were included in this study. Patients were allocated randomly into Group P, Group D and Group C of 25 patients each. In the operation theatre, clonidine (3 μg/kg) or dexmedetomidine (0.5 μg/kg) or placebo (0.9% normal saline) diluted in 100 ml NaCl 0.9% were infused over a period of 10 min.Statistical Analysis Used:Statistical analysis was done using Statistical Package for Social Sciences version 15.0. Chi-square test, ANOVA, Student's t-test, and Paired t-test were used.Results:As compared to Group P, the mean systolic blood pressure in Group D and Group C were significantly lower (<0.01) after intubation and all the subsequent intervals. After infusion and after the induction interval, the maximum value was observed in Group D while minimum mean value was observed in Group C. As compared to Group P, the mean arterial pressure in Group D was significantly higher at after infusion and after induction intervals but significantly lower after intubation and subsequent intervals. However, in Group C, the mean value was significantly lower as compared to Group P at all-time intervals except after infusion and after induction intervals. As compared to Group P, the mean HR in Group D was significantly higher at after infusion and after induction intervals. However at all the subsequent intervals, Group D was significantly lower as compared to Group P.Conclusion:It was found that attenuating response to hemodynamic changes were observed with dexmedetomidine and clonidine IV infusion. The early onset of dexmedetomidine makes it a promising choice. Hence premedication with IV infusion of dexmedetomidine can safely be recommended for attenuation of hemodynamic response to endotracheal intubation.
Batteries are the primary energy-storage devices in ground vehicles. Now days battery fed electric drives are commonly being used for electric vehicles applications, due to various advantages, such as: nearly zero emission, guaranteed load leveling, good transient operation and energy recovery during braking operation. To fulfill these requirements converters with bidirectional power flow capabilities are required to connect the accumulator (battery) to the dc link of the motor drive system. Battery fed electric vehicles (BFEVs) is required to function in three different modes namely: acceleration mode, normal (steady-state) mode and braking (regenerative) mode. During acceleration and normal modes the power flow is from battery to motor where as during braking or regenerative mode the kinetic energy of the motor is converted into electrical energy and fed back to battery. The DC-DC converter is required to perform mainly two functions: first to match the battery voltage to the motor rated voltage and second to control the power flow under steady-state and transient conditions, so that the drive performance is as per the requirement. In the present work closed loop operation of bi-directional dc-dc converter feeding a dc motor and its energy recovery due to regenerative braking has been demonstrated. The characteristics of battery operated electric vehicle under different drive condition are also presented. The effectiveness of the system is verified through the simulations using Simulink/ MATLAB 7.6.0 (R2008a) package.
The disappearance of collective flow effects in heavy ion collisions is investigated using a microscopic optical model formalism for estimating collision momentum transfers. Phenomenological expressions for the balance energy are obtained which agree very well with measurements for various experimental collision pairs and with results obtained from Boltzmann-Uehling-Uhlenbeck simulations.
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