Effects of dexmedetomidine on postoperative pain and early cognitive impairment in older male patients undergoing laparoscopic cholecystectomy.

The primary aim of the present study was to investigate the effect of dexmedetomidine (DEX) on postoperative pain and early cognitive impairment in old male patients, who underwent laparoscopic cholecystectomy (LC). A total of 97 old patients, subjected to LC at the 980 Hospital of the Joint Service Support Force of the People's Liberation Army of China, were randomly divided into two groups, namely the DEX and normal saline groups. Patients in the DEX group received an intravenous infusion of 0.8 µg/kg DEX within 10 min following general anesthesia, followed by a maintenance infusion of 0.5 µg/(kg/h). Furthermore, patients in the normal saline group were treated with an equivalent volume of normal saline. Cognitive function was assessed using the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) tests at 6 h, 1, 2 and 3 days, postoperatively. The incidence of postoperative cognitive dysfunction (POCD) and postoperative adverse events were recorded for both groups. In addition, the Visual Analogue Scale (VAS) pain score was utilized to assess the pain level of all patients, while the Quality of Recovery-15 (QoR-15) scale was employed to analyze the postoperative recovery results. Therefore, the MoCA score was higher in the DEX group compared with the normal saline group at 6 h and day 1 postoperatively. Additionally, the MMSE score was higher at 6 h postoperatively in the DEX group compared with the normal saline group. Correspondingly, the incidence of POCD was lower in the DEX group compared with the normal saline group at 6 h and day 1, after LC (P<0.05). VAS score in resting state for patients in the DEX group was significantly lower compared with the normal-saline group (P<0.05). Furthermore, the QoR-15 scale score in patients in the DEX group was notably increased compared with the normal saline group on the first and second days after the operation (P<0.05). Overall, the present study verified that the continuous infusion of DEX at a rate of 0.5 µg/(kg/h) during LC could effectively reduce the incidence of early POCD and alleviate postoperative pain in old male patients, thus facilitating postoperative recovery.

Tribological Performance of MoS2-WS2 Composite Film under the Atomic Oxygen Irradiation Conditions.

The oxidation and erosion of atomic oxygen are considered to be the most dangerous environmental factors for materials exposed to the aerospace environment. In order to investigate the effect of atomic oxygen on the lubricating film and improve the tribological properties, MoS2-WS2 composite film was prepared by the sputtering technique. The film structure and mechanical behavior were characterized and their vacuum tribological properties were evaluated by a friction tester. The composite film possessed better atomic oxygen (AO) resistance than pure film because of the dense structure. The tribological performance of composite film was different under the conditions after AO-irradiation and sliding and during AO-irradiation. After AO-irradiation, the tribological properties of composite film were similar to those before AO-irradiation. However, high friction noise, wear rate, and reduced wear duration were observed for the composite film under the AO-irradiation/friction process because of the continuous damage of the lubricating film due to the AO-irradiation. The addition of 16 at.% WS2 to the MoS2-based film changed the composite film structure and improved the oxidation resistance of the film, making the composite film exhibit better tribological performance than pure MoS2.

Electronic stopping power for slow ions in the low-hardness semimetal HgTe using first-principles calculations.

The electronic stopping power for low-velocity ions (including protons, [Formula: see text]-particles, and [Formula: see text]) is investigated in a novel semimetal HgTe system, where the data are obtained with the aid of Ehrenfest dynamics combined with time-dependent density functional theory. For the light projectile ions (protons and [Formula: see text]-particles), the linear and nonlinear behaviors of electronic stopping power in three different channel directions are analyzed in detail. In the case where the projectile ion is a proton, the linear results for the threshold velocity are correlated with an indirect band gap; the direction of the electronic stopping power depends on the radial drag force, the channeling electronic density and the trapped charge. More notably, we report an interesting channel-geometry fact, i.e. that the electronic stopping power of HgTe is powerfully modulated by the impact parameters. The parallel off-center tracks increase the electronic stopping power, making it more consistent with the SRIM data. In the case of an [Formula: see text]-particle as the projectile ion, nonlinear behavior that varies with velocity can be ascribed to the charge transfer, which is another mode of energy dissipation. In addition, when the slightly heavier projectile [Formula: see text] travels through the medium HgTe, the projectile [Formula: see text] can capture more free charges than the protons and [Formula: see text]-particles under the same circumstances. Especially, for the projectile in the off-channel, the electronic stopping power is close to the SRIM data with the decrease of the impact parameter. These results extend the study of radiation damage to a new field of materials.