Immediate effects of upper limb exercises with and without deep breathing on lung function after cardiac surgery - a randomized crossover trial.

BACKGROUND: Open heart surgery, involving median sternotomy, may cause diminished chest wall motion and restrictive pulmonary function in the early postoperative period. Thoracic and upper extremity range of motion (ROM) exercises are often recommended after surgery but have not been evaluated regarding effect on lung volumes and oxygenation. The objective of this study was to evaluate the immediate effect of upper limb elevations, with or without simultaneous deep breathing, on lung function after cardiac surgery. METHODS: In a randomized 2 × 2 crossover trial, 22 adult patients (> 18 years old) were assessed during one of the first days after surgery in the spring of 2022 at Örebro University Hospital, Sweden. Exercises involving five bilateral upper limb elevations, performed either with simultaneous deep breathing (ROM-DB) or without (ROM), while sitting in an upright position at the edge of the bed, were evaluated. Peripheral oxygen saturation (Rad-5v; Masimo, Irvine, USA) was the primary outcome. Tidal volume and respiratory rate were recorded continuously during the exercises (Spiropalm; Cosmed, Rome, Italy). Heart rate, pain, exertion and dyspnoea were evaluated before and after the exercises. RESULTS: Both ROM-DB and ROM momentarily increased peripheral oxygen saturation (+ 1% ± 1, p = 0.004 and + 1% ± 1, p < 0.001, respectively), with no significant differences between these exercises (p = 0.525). ROM-DB significantly increased the VT compared with ROM (798 ± 316 vs. 602 mL ± 176, p = 0.004). However, ROM-DB induced more pronounced pain (p = 0.012), exertion (p = 0.035) and dyspnoea (p = 0.013) than ROM. CONCLUSIONS: Upper limb elevations improved oxygenation momentarily, both performed with and without simultaneous deep breathing, with no significant differences between these exercises. The additive deep breathing improved tidal volume compared with upper limb elevations alone, but induced more pain, exertion and dyspnoea during the performance of exercise. TRIAL REGISTRATION: ClinicalTrials.gov (NCT05278819).

Application of a hyperspectral camera for in situ plasma-material interaction studies at the linear plasma device PSI-2.

A hyperspectral camera (HSC-type Specim IQ) has been applied at the linear plasma device PSI-2 under steady-state conditions. The camera has the capacity of hyperspectral imaging (HSI) with the dimension of a data array 512 × 512 × 204 (x, y, λ) covering the spectral span from 400 to 1000 nm with moderate average spectral resolution (FWHM ∼7 nm). After radiometric calibration and background/continuum emission subtraction, two main applications of the camera, (i) plasma diagnostics in helium (He) plasmas and (ii) plasma-material interaction studies with tungsten (W) targets in neon (Ne) plasmas, have been carried out. The measurements were complemented by a movable Langmuir double probe system (LP) measuring electron temperature (Te) and electron density (ne) in radial direction r and a fiber-coupled cross-dispersion spectrometer with high spectral resolution (Spectrelle) recording neutral He, W, and Ne emission lines over the full plasma column. (i) Two-dimensional (2D) imaging of Te and ne radial profiles in axial direction z of the He plasma column were for the first time obtained by the regression analysis of Te and ne (from LP) and six He I line ratios (from HSC). The spatially resolved plasma parameters covered in these studies range between Te ∼ 0.8-13.4 eV and ne ∼ 0.2 × 1018-3.9 × 1018 m-3 and permit a reconstruction of the plasma conditions in PSI-2 in 2D without LP perturbation. (ii) W sputtering was studied in situ in Ne plasmas exposing W target samples (negatively biased at 100 V) under perpendicular Ne plasma impact. Simultaneously, the 2D distributions of W (W I line at 429.5 nm) in front of the target and the 2D Ne plasma distribution (Ne I line at 703.2 nm) were recorded with complete spectral separation as confirmed by the Spectrelle spectrometer. This permits the simultaneous measurement of the neutral W penetration and its angular distribution induced in the sputtering process and of the impinging plasma distribution. The HSI technique offers, despite a few technical drawbacks, such as the moderate spectral resolution and poor time resolution, a new possibility to distinguish multiple emission lines from plasma and impurities and complements the portfolio of existing Optical Emission Spectroscopy techniques, providing a good compromise regarding spectral, spatial, and temporal resolution.

Characterizing male-female interactions using natural genetic variation in Drosophila melanogaster.

Drosophila melanogaster females commonly mate with multiple males establishing the opportunity for pre- and postcopulatory sexual selection. Traits impacting sexual selection can be affected by a complex interplay of the genotypes of the competing males, the genotype of the female, and compatibilities between the males and females. We scored males from 96 2nd and 94 3rd chromosome substitution lines for traits affecting reproductive success when mated with females from 3 different genetic backgrounds. The traits included male-induced female refractoriness, male remating ability, the proportion of offspring sired under competitive conditions and male-induced female fecundity. We observed significant effects of male line, female genetic background, and strong male by female interactions. Some males appeared to be "generalists" and performed consistently across the different females; other males appeared to be "specialists" and performed very well with a particular female and poorly with others. "Specialist" males did not, however, prefer to court those females with whom they had the highest reproductive fitness. Using 143 polymorphisms in male reproductive genes, we mapped several genes that had consistent effects across the different females including a derived, high fitness allele in Acp26Aa that may be the target of adaptive evolution. We also identified a polymorphism upstream of PebII that may interact with the female genetic background to affect male-induced refractoriness to remating. These results suggest that natural variation in PebII might contribute to the observed male-female interactions.