A Single Dose of Intrathecal Morphine Without Local Anesthetic Provides Long-Lasting Postoperative Analgesia After Radical Prostatectomy and Nephrectomy.

PURPOSE: Pain after open urological procedures is often intense. The aim of the study was to compare the efficacy of intrathecal morphine with systemic analgesia approaches. DESIGN: Prospective, randomized, single-blind controlled study. METHODS: Patients undergoing open prostatectomy or nephrectomy were randomly divided into the intervention group or the control group. Patients in the intervention group received morphine 250 mcg in 2.5 mL saline intrathecally. Anesthesia was identical in both groups. All patients were admitted to the intensive care unit (ICU) postoperative and received paracetamol 1 g intravenously every 6 hours and diclofenac 75 mg intramuscularly every 12 hours. If postoperative pain exceeded four on the numeric rating scale, morphine 10 mg was administered subcutaneously. Pain intensity, time to first dose of morphine, morphine doses, and side effects were recorded. FINDINGS: In total, 41 patients were assigned to the intervention group and 57 to the control group. The time to administration of the first dose of morphine was significantly (P < .001) longer in the intervention group when compared to controls. This observation was also noted individually for patients undergoing nephrectomy (36.86 hours vs 4.06 hours) and prostatectomy (33.13 hours vs 4.5 hours). Many patients did not need opioids after surgery in the intervention group (nephrectomy 72% vs 3%, prostatectomy 75% vs 4.5%, P < .001). There was no significant difference in the incidence of side effects. CONCLUSIONS: The results of our study confirmed that preoperative intrathecal morphine provides long-lasting analgesia and reduces the need for postoperative systemic administration of opioids. Adverse effects are minor and comparable between groups.

Seismic Beacon-A New Instrument for Detection of Changes in Rock Massif.

The seismic beacon is a new instrument that allows for the measurement of changes in a rock massif with high sensitivity. It is based on effects, which affect the propagation of harmonic seismic waves generated continuously with stable and precise frequency and amplitude. These seismic waves are registered by a system of seismic stations. The amplitude of the seismic signal is very small, and it is normally hidden in a seismic noise. Special techniques are applied to increase the signal-to-noise ratio. In 2020, the first prototype of the seismic beacon was constructed in a laboratory, and field tests were performed in 2022 and 2023. During the tests, the changes in spectral amplitude and phase of seismic waves were detected, which is interpreted as the changes in material properties. These measurements testified the basic functionality of the device. The seismic beacon has been developed primarily for the detection of critical stress before an earthquake, which is manifested by non-linear effects such as higher harmonics generation. In addition, it could be used, for example, in the detection of magma movements, groundwater level changes, changes in hydrocarbon saturation in rocks during the extraction of oil and natural gas, or the penetration of gases and liquids into the earth's crust.

Crystal Growth Kinetics in GeS2 Glass and Viscosity of Supercooled Liquid.

The crystal growth kinetics and morphology in germanium disulfide bulk glass and glass surface is described. The structural relaxation taking place below the glass transition is slow and the corresponding volumetric change is negligible. Therefore, it does not affect substantially the crystal growth process. The crystal growth rate of low temperature ß-GeS2 and high temperature α-GeS2 polymorphs in the bulk glass is comparable, being slightly decoupled from the shear viscosity below the glass transition. The crystal growth rate of ß-GeS2 in an amorphous thin film of the same composition is several orders of magnitude faster than that at the surface of bulk glass. This fast surface crystal growth is strongly decoupled from viscosity. Such behavior resembles the glass-to-crystal fast growth mode observed by several authors in some organic molecular glasses. Taking into account previously reported viscosity and heat capacity data, the crystal growth kinetics of both polymorphs can be quantitatively described by the 2D surface growth model for low and high supercooling. The nonisothermal differential scanning calorimetry experiments are analyzed, providing evidence of a complex nature of the overall crystallization process with apparent activation energy comparable to that obtained from isothermal microscopy measurement of crystal growth in the same temperature range.

Surface mobility in amorphous selenium and comparison with organic molecular glasses.

Surface diffusion is important for a broad range of chemical and physical processes that take place at the surfaces of amorphous solids, including surface crystallization. In this work, the temporal evolution of nanoholes is monitored with atomic force microscopy to quantify the surface dynamics of amorphous selenium. In molecular glasses, the surface diffusion coefficient has been shown to scale with the surface crystal growth rate (us) according to the power relation us ≈ Ds 0.87. In this study, we observe that the same power law applies to surface crystallization of amorphous selenium, a representative inorganic polymer glass. Our study shows that the surface diffusion coefficient can be used to quantitatively predict surface crystallization rates in a chemically diverse range of materials.

Rotaphone-CY: The Newest Rotaphone Model Design and Preliminary Results from Performance Tests with Active Seismic Sources.

Rotaphone-CY is a six-component short-period seismograph that is capable of the co-located recording of three translational (ground velocity) components along three orthogonal axes and three rotational (rotation rate) components around the three axes in one device. It is a mechanical sensor system utilizing records from elemental sensors (geophones) arranged in parallel pairs to derive differential motions in the pairs. The pairs are attached to a rigid frame that is anchored to the ground. The model design, the latest one among various Rotaphone designs based on the same principle and presented elsewhere, is briefly introduced. The upgrades of the new model are a 32-bit A/D converter, a more precise placing of the geophones to parallel pairs and a better housing, which protects the instrument from external electromagnetic noise. The instrument is still in a developmental stage. It was tested in a field experiment that took place at the Geophysical Observatory in Fürstenfeldbruck (Germany) in November 2019. Four Rotaphones-CY underwent the huddle-testing phase of the experiment as well as the field-deployment phase, in which the instruments were installed in a small-aperture seismic array of a triangular shape. The preliminary results from this active-source experiment are shown. Rotaphone-CY data are verified, in part, by various approaches: mutual comparison of records from four independent Rotaphone-CY instruments, waveform matching according to rotation-to-translation relations, and comparison to array-derived rotations when applicable. The preliminary results are very promising and they suggest the good functionality of the Rotaphone-CY design. It has been proved that the present Rotaphone-CY model is a reliable instrument for measuring short-period seismic rotations of the amplitudes as small as 10-7 rad/s.

Rotation, Strain, and Translation Sensors Performance Tests with Active Seismic Sources.

Interest in measuring displacement gradients, such as rotation and strain, is growing in many areas of geophysical research. This results in an urgent demand for reliable and field-deployable instruments measuring these quantities. In order to further establish a high-quality standard for rotation and strain measurements in seismology, we organized a comparative sensor test experiment that took place in November 2019 at the Geophysical Observatory of the Ludwig-Maximilians University Munich in Fürstenfeldbruck, Germany. More than 24 different sensors, including three-component and single-component broadband rotational seismometers, six-component strong-motion sensors and Rotaphone systems, as well as the large ring laser gyroscopes ROMY and a Distributed Acoustic Sensing system, were involved in addition to 14 classical broadband seismometers and a 160 channel, 4.5 Hz geophone chain. The experiment consisted of two parts: during the first part, the sensors were co-located in a huddle test recording self-noise and signals from small, nearby explosions. In a second part, the sensors were distributed into the field in various array configurations recording seismic signals that were generated by small amounts of explosive and a Vibroseis truck. This paper presents details on the experimental setup and a first sensor performance comparison focusing on sensor self-noise, signal-to-noise ratios, and waveform similarities for the rotation rate sensors. Most of the sensors show a high level of coherency and waveform similarity within a narrow frequency range between 10 Hz and 20 Hz for recordings from a nearby explosion signal. Sensor as well as experiment design are critically accessed revealing the great need for reliable reference sensors.

Comparative Measurements of Local Seismic Rotations by Three Independent Methods.

A comparative active experiment that is aimed at collocated measurement of seismic rotation rates along three orthogonal axes by means of three different methods is described. The rotation rates in a short-period range of 6-20 Hz were obtained using three different methods: the 6C Rotaphone sensor system developed by the authors, the commercial R-1 rotational sensor by Eentec, and a small-aperture array of twelve standard velocigraphs in a rectangular arrangement. Those three methods are compared and discussed in detail. A medium-size quarry blast was used as a seismic source. At a distance of approximately 240 m, the rotation rates reached an amplitude of the order of magnitude of 10-4-10-5 rad/s. The array derived rotation rates displayed serious limitations, as clearly documented. The R-1 instruments have shown certain technical problems that partly limit their applicability. The measured rotation rates were compared to the relevant acceleration components according to rotation-to-translation relations. Out of all the three methods, the records best matching the acceleration components were made by Rotaphone. The experiment also revealed that rotation rates in the given short-period range noticeably changed over a distance as short as 2 m.

Kinetic Processes in Amorphous Materials Revealed by Thermal Analysis: Application to Glassy Selenium.

It is expected that viscous flow is affecting the kinetic processes in a supercooled liquid, such as the structural relaxation and the crystallization kinetics. These processes significantly influence the behavior of glass being prepared by quenching. In this paper, the activation energy of viscous flow is discussed with respect to the activation energy of crystal growth and the structural relaxation of glassy selenium. Differential scanning calorimetry (DSC), thermomechanical analysis (TMA) and hot-stage infrared microscopy were used. It is shown that the activation energy of structural relaxation corresponds to that of the viscous flow at the lowest value of the glass transition temperature obtained within the commonly achievable time scale. The temperature-dependent activation energy of crystal growth, data obtained by isothermal and non-isothermal DSC and TMA experiments, as well as direct microscopic measurements, follows nearly the same dependence as the activation energy of viscous flow, taking into account viscosity and crystal growth rate decoupling due to the departure from Stokes-Einstein behavior.

Extended Study on Crystal Growth and Viscosity in Ge-Sb-Se Bulk Glasses and Thin Films.

Crystal growth rates in Ge18Sb28Se54 bulk glass and thin film were measured using optical and scanning electron microscopy under isothermal conditions. The studied temperature region was 255-346 °C and 254-286 °C for bulk glass and thin film, respectively. The compact crystalline layer growing from the surface into the amorphous core was formed in bulk glasses and no bulk crystallization was observed. In the case of thin films, needle-shape crystals were formed. The crystalline layer and needle-shape crystals grew linearly with time that corresponds to a crystal growth controlled by the crystal-liquid interface kinetics. In the narrow temperature range, crystal growth rates exhibit simple exponential behavior, so the activation energies of crystal growth for the studied temperature regions were estimated (EG = 294 ± 6 kJ/mol for bulk glass and EG = 224 ± 12 kJ/mol for thin film). Viscosity of Ge18Sb28Se54 material was measured in the region of the undercooled melt and glass. The extrapolation of viscosity data into the immeasurable, but important, temperature range is discussed. The experimental growth data were combined with melting and viscosity data and the appropriate growth models were proposed to describe crystal growth in a wide temperature region. The standard crystal growth models are based on a simple proportionality of the crystal growth rate to the viscosity (u ∝ η-1). This simple proportionality holds for the bulk material. Nevertheless, in the thin films the decoupling of the crystal growth rate from the inverse viscosity occurs, and the standard kinetic growth models need to be corrected. Such corrections provide better description of experimental data and more realistic value of the parameter describing the mean interatomic distance in the crystal-liquid interface layer, where the crystal growth takes place.

Crystal Growth Kinetics and Viscous Behavior in Ge2Sb2Se5 Undercooled Melt.

Crystal growth, viscosity, and melting were studied in Ge2Sb2Se5 bulk samples. The crystals formed a compact layer on the surface of the sample and then continued to grow from the surface to the central part of the sample. The formed crystalline layer grew linearly with time, which suggests that the crystal growth is controlled by liquid-crystal interface kinetics. Combining the growth data with the measured viscosities and melting data, crystal growth could be described on the basis of standard crystal growth models. The screw dislocation growth model seems to be operative in describing the temperature dependence of the crystal growth rate in the studied material in a wide temperature range. A detailed discussion on the relation between the kinetic coefficient of crystal growth and viscosity (ukin ∝ η(-ξ)) is presented. The activation energy of crystal growth was found to be higher than the activation energy of crystallization obtained from differential scanning calorimetry, which covers the whole nucleation-growth process. This difference is considered and explained under the experimental conditions.

Electron-lattice interactions strongly renormalize the charge-transfer energy in the spin-chain cuprate Li2CuO2.

Strongly correlated insulators are broadly divided into two classes: Mott-Hubbard insulators, where the insulating gap is driven by the Coulomb repulsion U on the transition-metal cation, and charge-transfer insulators, where the gap is driven by the charge-transfer energy Δ between the cation and the ligand anions. The relative magnitudes of U and Δ determine which class a material belongs to, and subsequently the nature of its low-energy excitations. These energy scales are typically understood through the local chemistry of the active ions. Here we show that the situation is more complex in the low-dimensional charge-transfer insulator Li2CuO2, where Δ has a large non-electronic component. Combining resonant inelastic X-ray scattering with detailed modelling, we determine how the elementary lattice, charge, spin and orbital excitations are entangled in this material. This results in a large lattice-driven renormalization of Δ, which significantly reshapes the fundamental electronic properties of Li2CuO2.

Magnetic moment formation due to arsenic vacancies in LaFeAsO-derived superconductors.

Arsenic vacancies in LaFeAsO-derived superconductors are nominally non-magnetic defects. However, we find from a microscopic theory in terms of an appropriately modified Anderson-Wolff model that in their vicinity local magnetic moments form. They can arise because removing an arsenic atom breaks four strong, covalent bonds with the neighboring iron atoms. The moments emerging around an arsenic vacancy orient ferromagnetically and cause a substantial enhancement of the paramagnetic susceptibility in both the normal and superconducting state. The qualitative model description is supported by first principles band structure calculations of the As-vacancy related defect spectrum within a larger supercell.

The mechanisms for desensitization effect of synthetic polymers on BCHMX: Physical models and decomposition pathways.

The project involves determination of the activation energies and physical models for thermolysis of BCHMX and its PBXs. The initial decomposition pathways were also proposed on the basis of molecular dynamic simulation. The goal is to find the mutual relationships among the physical models, decomposition pathways, and the impact sensitivities for BCHMX and its PBXs. It has been shown that the physical model of the first step of BCHMX thermolysis is close to first order and the second step is governed by a first order autocatalytic model, which turns to "2D or 3D Nucleation and Growth" models under the effect of polymeric binders probably due to their hindrances on topochemical reaction of BCHMX. Simulation results show that the scission of N-NO2 is the initial step for BCHMX pyrolysis, followed by HONO and HNO eliminations, where the latter is due to nitro-nitrite rearrangement. Under the effect of hydrocarbon polymers, the HONO/HON elimination and collapse of ring structure of BCHMX occur earlier without changing the time for N-NO2 scission, which might be the reason why those polymers have little effect on the thermal stability of BCHMX, while they could make it decompose almost in a single complex step.

Thermal behavior in Se-Te chalcogenide system: interplay of thermodynamics and kinetics.

Heat capacity measurements were performed for Se, Se90Te10, Se80Te20, and Se70Te30 materials in the 230-630 K temperature range. Both glassy and crystalline Cp dependences were found to be identical within the experimental error. The compositional dependence of the N-type undercooled liquid Cp evolution was explained on the basis of free-volume theory; vibrational and chemical contributions to heat capacity were found to be roughly similar for all Se-Te compositions. The thermal behavior in the Se-Te chalcogenide system was thoroughly studied: glass transition, cold crystallization, and melting were investigated in dependence on composition and various experimental conditions (heating rate, particle size, and pre-nucleation period). The kinetics of the structural relaxation and crystallization processes are described in terms of the Tool-Narayanaswamy-Moynihan and Johnson-Mehl-Avrami models. The complexity of these processes is thoroughly discussed with regard to the compositionally determined changes of molecular structures. The discussion is conducted in terms of the mutual interplay between the thermodynamics and kinetics in this system.

The effect of polymer matrices on the thermal hazard properties of RDX-based PBXs by using model-free and combined kinetic analysis.

In this paper, the decomposition reaction models and thermal hazard properties of 1,3,5-trinitro-1,3,5-triazinane (RDX) and its PBXs bonded by Formex P1, Semtex 1A, C4, Viton A and Fluorel polymer matrices have been investigated based on isoconversional and combined kinetic analysis methods. The established kinetic triplets are used to predict the constant decomposition rate temperature profiles, the critical radius for thermal explosion and isothermal behavior at a temperature of 82°C. It has been found that the effect of the polymer matrices on the decomposition mechanism of RDX is significant resulting in very different reaction models. The Formex P1, Semtex and C4 could make decomposition process of RDX follow a phase boundary controlled reaction mechanism, whereas the Viton A and Fluorel make its reaction model shifts to a two dimensional Avrami-Erofeev nucleation and growth model. According to isothermal simulations, the threshold cook-off time until loss of functionality at 82°C for RDX-C4 and RDX-FM is less than 500 days, while it is more than 700 days for the others. Unlike simulated isothermal curves, when considering the charge properties and heat of decomposition, RDX-FM and RDX-C4 are better than RDX-SE in storage safety at arbitrary surrounding temperature.

Endogenous ligands of benzodiazepine binding site have inverse agonistic properties.

Benzodiazepines have been widely used in clinical praxis for many decades. They act as GABAA receptor agonists and possess muscle-relaxant, hypnotic-sedative, anticonvulsant, and anxiolytic properties. Flumazenil acts as a benzodiazepine receptor antagonist (subunits α1, α2, α3, and α5) or partial agonist (subunits α4 and α6). It competitively inhibits the activity at the benzodiazepine recognition site on the GABA/benzodiazepine receptor complex, thereby reversing the effects of benzodiazepines. In our experiments, administration of flumazenil in rabbits was surprisingly associated with anxiolytic effects similar to those of midazolam. Additionally, flumazenil significantly and dose-dependently decreased the total number of vocalizations in rats, i.e. it was anxiolytic. These observations seem to be in contrast to the effect of flumazenil in humans, where it is believed to produce mainly anxiogenic effects. It seems that in individuals, who exhibit anxiogenic behavior or in individuals with anticipation anxiety, flumazenil acts as an anxiolytic agent, while in individuals without any signs of anxiety, flumazenil can also act as anxiogenic agent. Thus, we hypothesize that flumazenil is associated with decreased intensity of anticipatory anxiety due to occupancy of benzodiazepine binding sites by an endogenous ligand with inverse agonistic properties.

Determination of midazolam in rabbit plasma by GC and LC following nasal and ocular administration.

GC with nitrogen phosphorus detection and HPLC with UV detection were used to determine midazolam (MDZ) levels in rabbit plasma following ocular and nasal administration. For GC with nitrogen phosphorus detection, the analyte was extracted from the plasma using a three-step liquid-liquid extraction including extraction with an isopropanol/butyl chloride mixture in an alkaline solution, followed by extractions with 1 M HCl, and finally with an alkaline solution of butyl chloride. The recovery of MDZ was dependent on the sample alkalization time prior to the final extraction. The procedure increased the recovery of MDZ up to 99.6%. Improved sample preparation led to a significant increase in the sensitivity of the determination by GC with nitrogen phosphorus detection. The achieved detection limit was 0.34 ng/mL, which is ten times lower than that obtained using HPLC with UV detection. The small plasma volume was another advantage of the GC with nitrogen phosphorus detection method (200 µL per assay). Both administration routes of the anesthetic (nasal and ocular) resulted in comparable plasma MDZ levels. Kinetic simulation of the MDZ plasma was performed for both administration routes.

[Irreversible electroporation: local, non-thermal, ablation therapy of malignant tumours]. / Ireverzibilní elektroporace: lokální, non-termální, ablacní lécba maligních nádoru

BACKGROUND: Irreversible electroporation (IRE) is a new method of local therapy of malign tumours based on bioelectric effect of electrical current. Short electric pulses with high voltage create nano size-pores in tumour cell membranes resulting in apoptosis of the exposed cells. The purpose of our study was to verify the IRE technique performed percutaneously under CT navigation and to assess effects of application of this method in early stages of primary and secondary hepatic, pancreatic, renal and pulmonary tumours. METHODS AND RESULTS: From November 2011 to October 2012 IRE was performed with NanoKnife (by AngioDynamics) in the population of 15 patients - 6 males and 9 females. IRE was performed under total anaesthesia with 2-5 needle electrodes introduced under CT navigation in the tumour base. The results of the treatment were assessed on the basis of modified RECIST criteria applied in 1-, 3- and 6-month intervals. A control CT or MRI examination 6 months post IRE was undertaken by 10 patients. One patient died one month post IRE of pulmonary embolism, two refused to visit for the control examination and another two are still to undergo the examination after 6 months. Out of the 10 examined patients success of IRE was demonstrated in 7 cases (70.0%) and IRE failure in 3 patients (30.0%). CONCLUSION: IRE is a new, mini-invasive therapeutic method applicable to local treatment of malignant tumours in cases where surgical approach is technically unfeasible or excessively risky. On the basis of first experience in a small cohort of patients IRE performed under CT navigation appears to be an effective and safe ablation method with a large therapeutic potential. Its results will however need to be assessed within a longer time horizon and in a larger cohort of population.

Determining the short-range spin correlations in the spin-chain Li2CuO2 and CuGeO3 compounds using resonant inelastic x-ray scattering.

We report a high-resolution resonant inelastic soft x-ray scattering study of the quantum magnetic spin-chain materials Li(2)CuO(2) and CuGeO(3). By tuning the incoming photon energy to the oxygen K edge, a strong excitation around 3.5 eV energy loss is clearly resolved for both materials. Comparing the experimental data to many-body calculations, we identify this excitation as a Zhang-Rice singlet exciton on neighboring CuO(4) plaquettes. We demonstrate that the strong temperature dependence of the inelastic scattering related to this high-energy exciton enables us to probe short-range spin correlations on the 1 meV scale with outstanding sensitivity.

Note: rotaphone, a new self-calibrated six-degree-of-freedom seismic sensor.

We have developed and tested (calibration, linearity, and cross-axis errors) a new six-degree-of-freedom mechanical seismic sensor for collocated measurements of three translational and three rotational ground motion velocity components. The device consists of standard geophones arranged in parallel pairs to detect spatial gradients. The instrument operates in a high-frequency range (above the natural frequency of the geophones, 4.5 Hz). Its theoretical sensitivity limit in this range is 10(-9) m/s in ground velocity and 10(-9) rad/s in rotation rate. Small size and weight, and easy installation and maintenance make the instrument useful for local-earthquake recording and seismic prospecting.