Binaural beats reduce feeling of pain and discomfort during colonoscopy procedure in not-sedated patients: A randomized control trial.

BACKGROUND AND PURPOSE: This study aimed to determine the effect of Binaural Beats(BB)on feeling of pain, and patient comfort during colonoscopy without sedation. MATERIALS AND METHODS: It is a randomized, controlled, double-blind procedural study of 115 patients that underwent colonoscopy without sedation. The patients were randomly assigned into the experimental group (n = 42) and the control group (n = 48) that were given BB starting 5 min before and continuing until the end of the colonoscopy procedure without any intervention other than routine nursing care. Measures of the state of anxiety (VAS-Anxiety scale) administered before the procedure, and measures of feeling of pain (Visual Analogue scale VAS-pain), Satisfactory and Willingness to repeat the procedure as Likert scales were also collected soon after the colonoscopy procedure. RESULTS: Feeling of pain was lower and scores of the level of comfort were higher in the experimental group when compared to the control group (p < 0.05). CONCLUSIONS: BB is an effective and safe method for reducing pain and improving patient comfort in cases undergoing colonoscopy without sedation. Since BB method is a non-pharmacological, non-invasive, inexpensive and simple method without any side effects, it may be used to reduce the feeling of pain and discomfort for non-sedated patients undergoing colonoscopy.

Binaural Beats Reduce Postoperative Morphine Consumption in Older adults After Total Knee Replacement Surgery.

CONTEXT: A reduction in the use of opioids by older adult patients could reduce unpleasant side effects for them. During general anesthesia, binaural beat (BB) listening has been found to reduce intraoperative fentanyl consumption as well as postoperative pain scores and discharge time. Auditory BBs are a perceptual phenomenon occurring when tones of 2 slightly different frequencies are presented simultaneously and separately to each ear. OBJECTIVE: The study intended to evaluate the ability of BBs, as a nonpharmacological premedication, to reduce postoperative morphine consumption in older adults undergoing total knee replacement surgery and to modify the levels of anxiety and feelings of pain that patients experience. DESIGN: The research team designed a prospective, single-center, randomized controlled study. SETTING: The study was conducted in the Orthopedic Department of the Santa Maria Maddalena Hospital (Volterra [Pisa], Italy). PARTICIPANTS: Forty older adults at the hospital who were undergoing total knee joint replacement with spinal anesthesia participated in the study. INTERVENTION: The study included 2 groups (n = 20 each), one receiving BBs stimulation with frequencies of 256 Hz in one ear and 260 Hz in the opposite ear producing a BB of 4 Hz (intervention group), and the other receiving acoustical stimulation at 256 Hz in both ears (control group). BBs, or acoustical stimulation, were administered before the surgical procedure. Both acoustical stimuli, generated with the Gnaural program, were delivered through stereo headphones connected to a laptop in the preoperative holding area. OUTCOME MEASURES: The study measured postoperative, cumulative, self-administered morphine consumption, in mg, through a patient-controlled analgesia device. Feelings of anxiety were also assessed using the State-Trait Anxiety Inventory, and feelings of pain were measured every 8 h during the first postoperative day using a numerical rating scale. RESULTS: Patients who received the intervention, consumed almost half of the dosage of morphine during the first postoperative day when compared with the control group's consumption, 5.75 mg ± 5.25 vs 11.85 mg ± 7.71, respectively. The consumption did not correlate to anxiety measures. Regarding pain perception, no differences between the groups were captured. CONCLUSIONS: BB stimulation before surgery can be successfully used as a nonpharmacological treatment to reduce morphine consumption in older adults who undergo knee replacement. The use of a noninvasive, safe, and inexpensive BB intervention can result in a positive effect on patients' postoperative recovery.

Diffusion of helical particles in the screw-like nematic phase.

The mechanism of diffusion of helical particles in the new screw-like nematic phase is studied by molecular dynamics numerical simulation. Several dynamical indicators are reported that evidence and microscopically characterise the special translo-rotational motion by which helical particles move in this chiral liquid-crystalline phase. Besides mean square displacements and diffusion coefficients resolved parallel and perpendicular to the nematic director, a suitable translo-rotational van Hove self-correlation function and a sequence of translational and rotational velocity, self- and distinct-, time correlation functions are calculated. The analysis of all these correlation functions elicits the operativeness of the aforementioned coupled mechanism and allows its short- and long-time quantitative characterisation.

Isotropic-nematic phase transition in hard platelets as described by a third-virial theory.

This work discusses a few second- and third-virial (density functional) theory approaches aimed at describing the isotropic-nematic phase transition in three-dimensional freely rotating infinitesimally thin hard discs, the basic model for (colloidal) discotic liquid crystals. Both plain and resummed versions are considered, those resummed being based on a simple yet rather accurate analytic equation of state for the isotropic phase. Extensive Monte Carlo simulations, carried out to locate accurately the phase transition, are used to test the performance of these approaches and guide toward an improved ansatz.

The isotropic-nematic phase transition in hard, slightly curved, lens-like particles.

Monte Carlo numerical simulations are used to study in detail how the characteristics of the isotropic-nematic phase transition change as infinitely thin hard platelets are bent into shallow lens-like particles. First, this phase transition in the former reference model system is re-examined and more accurately located. Then, it is shown quantitatively that this already quite weak but distinctly first-order phase transition weakens further upon curving the platelets to such an extent that, thanks to the thinness of these particles that does not favor its pre-emptying by a transition to a (partially) positionally ordered phase, an isotropic-nematic tricritical point limit can be arbitrarily closely approached.

On the distribution functions of depletion interactions.

Molecular dynamics computer simulations were performed on model colloidal binary mixtures of two large and many small soft repulsive spheres. Depletion forces arise between the two large spheres, as a function of their distance, because of the nonadditivity of the volume they exclude to the small spheres. The probability distribution functions of both longitudinal and transverse component of the total force exerted by the small particles were calculated and generally turned out non-Gaussian. The distributions of the collective forces were analyzed in terms of the distribution of the force that a single small sphere exerts on a large sphere and of the number of the surrounding small spheres. The reconstructed function matches well the corresponding exact distribution. Residual correlation among small particles, combined with a relatively small number of neighbors, slows the approach to the Gaussian limit. In our fully repulsive model, the direct force between a large and a small sphere is a monotonic function of their distance. On these bases, we propose and successfully test an approach that relates the probability distribution function of the depletion forces to the large-sphere-small-sphere radial distribution function. This approach can be extended to experimental data of radial distribution function, thus allowing for an estimate of depletion force fluctuations in real colloidal mixtures.

Solvent-induced stereochemical behavior of a bile acid-based biphenyl phosphite: a computational study.

The origin of the stereochemical behavior experimentally found in a bile acid-derived biphenyl phosphite is studied by means of quantum mechanical methods. The molecular mechanisms driving the screw sense of the dihedral angle between the two phenyl rings of the biphenyl phosphite unit are investigated with density functional theory calculations. Energy, geometry, and circular dichroism spectra have been computed and compared between the two resulting diastereoisomers. We evaluated the solvent effect on the torsional energy profile by discussing the results obtained for the isolated molecule with those found with polarizable continuum model (PCM) calculations performed in different solvents. The results we obtain with the PCM model do not reproduce the solvent effect on the stereochemical equilibrium of this phosphite.

Chemical Detail Force Fields for Mesogenic Molecules.

Intra- and intermolecular potential energy surfaces of the 4,4'-di-n-heptyl azoxybenzene molecule have been sampled by ab initio calculations and represented through a force field suitable for classical bulk simulations. The parametrization of the molecular internal flexibility has been performed by a fitting procedure based on single molecule Hessian, gradients and torsional energies, computed using density functional theory. The intermolecular part of the force field has been derived as a pure pair potential, by fitting the dimer potential energy surface sampled by the Fragmentation Reconstruction Method. Preliminary molecular dynamics runs have been performed on systems of 210 and 600 molecules at atmospheric pressure and different temperatures, showing the presence of ordered and isotropic phases. Several properties have been computed, all resulting in a good agreement with the corresponding experimental data.

Structural, electronic, and optical properties of a prototype columnar discotic liquid crystal.

Structural, electronic, and optical properties calculated for an isolated infinite column of hexakis-hydroxy-triphenylene (HAT0) molecules are presented. This system is intended as a prototype model of columnar discotic liquid crystals since HAT0 is the first member of the discogenic hexakis-n-alkyloxy-triphenylenes (HATn) series; the single-column approximation can be adopted in view of the peculiar nanoseparation of the columns characteristic of these mesophases. Structural optimization of the system has been performed using Car-Parrinello molecular dynamics techniques. Kohn-Sham orbitals, density of states, and electronic energies have been calculated on the optimized structure of the infinite column and implemented in the quantum expression of the transverse dielectric function. The optical absorption spectrum calculated from the dielectric function has been discussed in comparison to a measured absorption spectrum of HAT5 in columnar discotic liquid crystal phase. Optical absorption spectra of short columns of a few HAT0 molecules arranged as in the infinite column have been calculated using the ZINDO method. These spectra are in good agreement with measured absorption spectra of HAT5 and HAT6 in organic solvents, a fact that supports the proposed columnar arrangement of the discotic molecules in these solvents. We also give an estimate of the electronic transport properties of a small column of HAT0 molecules by calculating with the nonequilibrium Green's function method, the current/voltage characteristic of a model system in which a few HAT0 molecules have been inserted between two gold electrodes under the bias of an external potential.

Atomistic computer simulation and experimental study on the dynamics of the n-cyanobiphenyls mesogenic series.

Several dynamic properties of the 4-n-alkyl-4'-cyanobiphenyls series ( nCB) with n=5, 6, 7, 8 have been studied by atomistic molecular dynamics (MD) simulations in the NVE ensemble adopting an ab initio derived force field (J. Phys. Chem. B 2007, 111, 2130). For each homologue, at least two state points, in the nematic and in the isotropic phase, as determined from lengthy equilibration runs performed in the previous work, have been considered. More than 10 ns have been produced at each state point, allowing us to calculate single-molecule properties as the translational and rotational diffusion coefficients along the series. An oscillating behavior of the diffusion coefficients, similar to the observed odd-even effect in static properties, has been predicted by MD. A good agreement with the results of purposely carried out (1)H NMR measurements is achieved, provided the MD values are increased by a factor that accounts for density overestimation. Spinning and tumbling rotational motions, monitored by calculating the rotational diffusion coefficients for all homologues in both phases, agree well with experimental data, at least for 5CB where NMR measures are reported. Collective properties, such as the isotropic shear viscosity and the rotational viscosity coefficient, have been computed for all homologues, and the MD values agree well with the experimental data reported in the literature. Finally, the origin of the odd-even effect, found for all the computed dynamic properties, is addressed.

Subdiffusive dynamics of a liquid crystal in the isotropic phase.

The isotropic phase dynamics of a system of 4-n-hexyl-4'-cyano-biphenyl (6CB) molecules has been studied by molecular dynamics computer simulations. We have explored the range of 275-330 K keeping the system isotropic, although supercooled under its nematic transition temperature. The weak rototranslational coupling allowed us to separately evaluate translational (TDOF) and orientational degrees of freedom (ODOF). Evidences of subdiffusive dynamics, more apparent at the lowest temperatures, are found in translational and orientational dynamics. Mean square displacement as well as self-intermediate center of mass and rotational scattering functions show a plateau, also visible in the orientational correlation function. According to the mode coupling theory (MCT), this plateau is the signature of the beta-relaxation regime. Three-time intermediate scattering functions reveal that the plateau is related to a homogeneous dynamics, more extended in time for the orientational degrees of freedom (up to 1 ns). The time-temperature superposition principle and the factorization property predicted by the idealized version of MCT hold, again for both kinds of dynamics. The temperature dependence of diffusion coefficient and orientational relaxation time is well described by a power law. Critical temperatures Tc are 244+/-6 and 258+/-6 K, respectively, the latter is some 10 K below the corresponding experimental values. The different values of Tc we obtained indicate that ODOF freezes earlier than TDOF. This appears due to the strongly anisotropic environment that surrounds a 6CB molecule, even in the isotropic phase. The lifetime of these "cages," estimated by time dependent conditional probability functions, is strongly temperature dependent, ranging from some hundreds of picoseconds at 320 K to a few nanoseconds at 275 K.

Large attractive depletion interactions in soft repulsive-sphere binary mixtures.

We consider binary mixtures of soft repulsive spherical particles and calculate the depletion interaction between two big spheres mediated by the fluid of small spheres, using different theoretical and simulation methods. The validity of the theoretical approach, a virial expansion in terms of the density of the small spheres, is checked against simulation results. Attention is given to the approach toward the hard-sphere limit and to the effect of density and temperature on the strength of the depletion potential. Our results indicate, surprisingly, that even a modest degree of softness in the pair potential governing the direct interactions between the particles may lead to a significantly more attractive total effective potential for the big spheres than in the hard-sphere case. This might lead to significant differences in phase behavior, structure, and dynamics of a binary mixture of soft repulsive spheres. In particular, a perturbative scheme is applied to predict the phase diagram of an effective system of big spheres interacting via depletion forces for a size ratio of small and big spheres of 0.2; this diagram includes the usual fluid-solid transition but, in the soft-sphere case, the metastable fluid-fluid transition, which is probably absent in hard-sphere mixtures, is close to being stable with respect to direct fluid-solid coexistence. From these results, the interesting possibility arises that, for sufficiently soft repulsive particles, this phase transition could become stable. Possible implications for the phase behavior of real colloidal dispersions are discussed.

Anomalous diffusion and cage effects in the isotropic phase of a liquid crystal.

The translational motion of 4-n-hexyl-4'-cyanobiphenyl (6CB) in its isotropic phase has been studied by atomistic molecular dynamics simulation from 280 to 330 K. The mean square displacement shows evidence of a subdiffusive dynamics, with a plateau that becomes very apparent at the lowest temperatures. A three-time self-intermediate scattering function reveals that this plateau is connected with a homogeneous dynamics that, at longer times, becomes heterogeneous and finally exponential. These features are shared by, for example, a high-density system of hard spheres, which supports the universal character of the translational dynamics of liquids in their supercooled condition. As predicted by the idealized version of the mode-coupling theory (MCT), the diffusion coefficient dependence upon temperature is well described by a power law, with a critical temperature very close to that obtained by experimental measurements on orientational relaxation. This agreement might indicate a complete freezing of both rotational and translational intradomain dynamics. The time-temperature superposition principle also holds. The shape of the cage that surrounds a 6CB molecule has been reconstructed, and this analysis suggests a preferential side-by-side arrangement of molecules, which locally tend to align their long axes even in the isotropic phase.

Sixfold bond orientational properties of a model liquid crystal in the dimensional crossover of B phases: a computer simulation study.

A wide range of NPT simulations of a bead necklace liquid crystal model in the crystal B, smectic B, smectic A, and nematic phases have been performed. Systems with up to 21 600 molecules have been studied to observe the behavior of slowly decaying spatial correlation functions. The pair correlation function and its in-plane restriction are consistent with a crystalline phase made of independent two-dimensional crystalline layers. Smectic B phase is studied by the bond orientational pair correlation functions g(6) and its extension g(6ext). The first reaches a constant value, which seems to rule out a classical hexatic phase. The latter shows a power-law decay within the layers: its typical decay exponent (eta(6ext)) is evaluated. Relationships between multiple harmonics of the C(6n) order parameter have been evaluated through the whole range of existence of B phases (crystalline and smectic): the extension to the crystalline phase holds and provides an excellent fit of the simulation data.

Liquid crystal properties of the n-alkyl-cyanobiphenyl series from atomistic simulations with ab initio derived force fields.

Lengthy molecular dynamics (MD) simulations were performed at constant atmospheric pressure and different temperatures for the series of the 4-n-alkyl-4'-cyanobiphenyls (nCB) with n = 6, 7, and 8. The accurate atomistic force field (Bizzarri, M.; Cacelli, I.; Prampolini, G; Tani, A. J. Phys. Chem. A 2004, 108, 10336), successfully employed to reproduce thermodynamic and transport properties of the 5CB molecule, has here been extended to higher homologues. Nematic and isotropic phases were found for all members of the series, and also, a smectic phase was (tentatively) identified for 8CB at 1 atm and 300 K. Transition temperatures reproduce the experimental values within +/-10 K. Also, structural properties as second and fourth rank orientational order parameters are in good agreement with the corresponding experimental quantities. This means that the well-known odd-even effect, observed for many properties along the nCB series, is well reproduced, despite the narrow range of oscillations, e.g., in clearing temperatures. A detailed analysis of the correlation between molecular properties and odd-even effects is presented.

Solvation dynamics by computer simulation: coumarin C153 in 1,4-dioxane.

Computer simulation results are presented for an atomistic pair potential model of 1,4-dioxane which takes into account molecular flexibility. The model has been conceived to be applied to the study of solvatochromism and solvation dynamics in the presence of the polar probe coumarin C153. Computer simulations on the pure liquid have produced thermodynamical, structural, and dynamical data in good agreement with available experimental measures. This constitutes a valuable test of the 1,4-dioxane all-atom model employed. The study of solute-solvent interactions for C153 in 1,4-dioxane has been motivated by the aim of casting light, through simulations, on the interesting experimental findings according to which such a solvent behaves as a "polar" solvent with respect to dynamic solvation properties. Molecular dynamics is particularly suitable to model the process and provides an interpretation of the so-called "dioxane anomaly". An investigation of the structure of the solvation shell and of the dynamics of solvation is presented and discussed. In particular, the satisfactory accordance between simulated and experimental solvation response implies that the simulations give a reliable description of both solute and solvent at a molecular level and reinforces the idea that the explicit inclusion of discrete solvent molecules is needed for a realistic treatment of solvation phenomena in which the local structure of the liquid plays a key role.

Modeling a liquid crystal dynamics by atomistic simulation with an ab initio derived force field.

Atomistic molecular dynamics (MD) simulations of 4-n-pentyl 4'-cyano-biphenyl (5CB) have been performed, adopting a specific ab initio derived force field. Two state points in the nematic phase and three in the isotropic phase, as determined in a previous work, have been considered. At each state point, at least 10 ns have been produced, allowing us to accurately calculate single-molecule properties. In the isotropic phase, the values of the translational diffusion coefficient, and even more so the activation energy for the process, agree well with experimental data. Qualitatively, also the dynamic anisotropy of the nematic phase is correctly accounted for. Rotational diffusion coefficients, which describe spinning and tumbling motions, fall well within the range of experimental values. The reorientational dynamics of our model 5CB covers diverse time regimes. The longest one is strongly temperature dependent and characterized by a relaxation time in accord with experimental dielectric relaxation data. Shear viscosity and Landau-de Gennes relaxation times, typically collective variables, reproduce the experimental results very well in the isotropic phase. In the nematic phase, despite a large statistical uncertainty due to the extremely slow relaxation of the correlation functions involved, our simulation yields the correct relative order of the three experimental Miesowicz viscosities.