Sedation and regional anaesthesia in the adult patient

This review discusses sedation for regional anaesthesia in the adult population. The first section deals with general aspects of sedation and shows that the majority of patients receiving sedation for regional anaesthesia are satisfied and would choose it again. Methods of assessing the level of sedation are discussed with emphasis on clinical measures. The pharmacology of the drugs involved in sedation is discussed, with propofol and remifentanil appearing to be the combination of choice for sedation in regional anaesthesia. The techniques for administering sedation are discussed and replacement of the traditional repeated boluses or continuous infusion with pharmacokinetic and patient-controlled systems is supported. Patient satisfaction studies suggest that patient-controlled systems are preferre

The gas phase cyclization of deprotonated N-aryl-2-cyano-2-diazoacetamides

The document attached has been archived with permission from the publisher.1-Aryl-4-cyano-5-hydroxy-1,2,3-triazoles can be obtained in solution by base-catalysed cyclization of N-aryl-2-cyano-2-diazoacetamides. A similar reaction was shown to take place under conditions of negative ion chemical ionization in the ion source of a mass spectrometer. High resolution mass spectrometry, tandem mass spectrometry, charge reversal spectra, synthesis of the ions with known structures and quantum chemical calculations were used to prove the latter statement. The fact of the observed cyclization demonstrates once again the ability of mass spectrometry to study the gas phase chemical reactions that take place in solution.Vladislav V. Lobodin, Yuriy Yu. Morzherin, Tom Blumenthal, Daniel Bilusich, Vladimir V. Ovcharenko, John H. Bowie, and Albert T. Lebede

Parallel quantized charge pumping

Two quantized charge pumps are operated in parallel. The total current generated is shown to be far more accurate than the current produced with just one pump operating at a higher frequency. With the application of a perpendicular magnetic field the accuracy of quantization is shown to be $<$20 ppm for a current of $108.9$pA. The scheme for parallel pumping presented in this work has applications in quantum information processing, the generation of single photons in pairs and bunches, neural networking and the development of a quantum standard for electrical current. All these applications will benefit greatly from the increase in output current without the characteristic decrease in accuracy as a result of high-frequency operation

Single-parameter non-adiabatic quantized charge pumping

Controlled charge pumping in an AlGaAs/GaAs gated nanowire by single-parameter modulation is studied experimentally and theoretically. Transfer of integral multiples of the elementary charge per modulation cycle is clearly demonstrated. A simple theoretical model shows that such a quantized current can be generated via loading and unloading of a dynamic quasi-bound state. It demonstrates that non-adiabatic blockade of unwanted tunnel events can obliterate the requirement of having at least two phase-shifted periodic signals to realize quantized pumping. The simple configuration without multiple pumping signals might find wide application in metrological experiments and quantum electronics.Comment: 4 pages, 4 figure

Spectral evolution of non-thermal electron distributions in intense radiation fields

(abridged) Models of many astrophysical gamma-ray sources assume they contain a homogeneous distribution of electrons that are injected as a power-law in energy and evolve by interacting with radiation fields, magnetic fields and particles in the source and by escaping. This problem is particularly complicated if the radiation fields have higher energy density than the magnetic field and are sufficiently energetic that inverse Compton scattering is not limited to the Thomson regime. We present a simple, time-dependent, semi-analytical solution of the electron kinetic equation that treats both continuous and impulsive injection, cooling via synchrotron and inverse Compton radiation, (taking into account Klein-Nishina effects) and energy dependent particle escape. The kinetic equation for an arbitrary, time-dependent source function is solved by the method of Laplace transformations. Using an approximate expression for the energy loss rate that takes into account synchrotron and inverse Compton losses including Klein-Nishina effects for scattering off an isotropic photon field with either a power-law or black-body distribution, we find explicit expressions for the cooling time and escape probability of individual electrons. This enables the full, time-dependent solution to be reduced to a single quadrature. From the electron distribution, we then construct the time-dependent, multi-wavelength emission spectrum. We compare our solutions with several limiting cases and discuss the general appearance and temporal behaviour of spectral features (i.e., cooling breaks, bumps etc.). As a specific example, we model the broad-band energy spectrum of the open stellar association Westerlund-2 at different times of its evolution, and compare it with observations.Comment: 14 pages, 8 figures, acccepted for publication in A&

Forman's Ricci curvature - From networks to hypernetworks

Networks and their higher order generalizations, such as hypernetworks or multiplex networks are ever more popular models in the applied sciences. However, methods developed for the study of their structural properties go little beyond the common name and the heavy reliance of combinatorial tools. We show that, in fact, a geometric unifying approach is possible, by viewing them as polyhedral complexes endowed with a simple, yet, the powerful notion of curvature - the Forman Ricci curvature. We systematically explore some aspects related to the modeling of weighted and directed hypernetworks and present expressive and natural choices involved in their definitions. A benefit of this approach is a simple method of structure-preserving embedding of hypernetworks in Euclidean N-space. Furthermore, we introduce a simple and efficient manner of computing the well established Ollivier-Ricci curvature of a hypernetwork.Comment: to appear: Complex Networks '18 (oral presentation

UHE nuclei propagation and the interpretation of the ankle in the cosmic-ray spectrum

We consider the stochastic propagation of high-energy protons and nuclei in the cosmological microwave and infrared backgrounds, using revised photonuclear cross-sections and following primary and secondary nuclei in the full 2D nuclear chart. We confirm earlier results showing that the high-energy data can be fit with a pure proton extragalactic cosmic ray (EGCR) component if the source spectrum is \propto E^{-2.6}. In this case the ankle in the CR spectrum may be interpreted as a pair-production dip associated with the propagation. We show that when heavier nuclei are included in the source with a composition similar to that of Galactic cosmic-rays (GCRs), the pair-production dip is not present unless the proton fraction is higher than 85%. In the mixed composition case, the ankle recovers the past interpretation as the transition from GCRs to EGCRs and the highest energy data can be explained by a harder source spectrum \propto E^{-2.2} - E^{-2.3}, reminiscent of relativistic shock acceleration predictions, and in good agreement with the GCR data at low-energy and holistic scenarios.Comment: 4 pages, 4 figures, submitted to A&A Letters (minor changes, two figures replaced, two references added