Topical laryngo-tracheal anesthesia and intraocular pressure in anesthesia for ophthalmic surgery

OBJECTIVE: The reflex response to orotracheal intubation provokes an increase of arterial pressure accompanied by an increase of chorioides volume and a consequent ocular hypertone. There are several methods to reduce the reflex response due to intubation. One of the most effective is topical anaesthesia of larynx and trachea. Experiments were directed to evaluate the efficacy of topical anaesthesia to reduce the intraocular hypertone due to orotracheal intubation. DESIGN: A prospective randomized mask study was conduct on patients undergoing ophthalmologic (anterior segment) surgery at the Eye Clinic of Florence University. METHODS: Intraocular pressure was measured by a Goldman tonometer at four times: T0 = basal, T1 = 2' minutes after induction of general anaesthesia, T2 = 2' minutes after laryngoscopy, T3 = 2' minutes after orotracheal intubation. At the same moments, systolic blood pressure, heart rate, rate pressure pro duct were measured. Patients were randomly divided in two groups: Group L (n = 10) in which was evaluated the efficacy of laryngotracheal topical spray of lidocaine 4% (2 ml) and Group F (n = 10) in which saline was used instead of anesthetic. The filling of the LTA kit (Abbott) was made by a person not involved in the experiments. DATA ANALYSIS: Student's t test for unpaired data. RESULTS: Topical anaesthesia reduces the increase of intraocular pressure, hypertension and rate pressure product due to intubation. The intraocular pressure reduces to 13% less than basal value in Group L and increase to 50% more than basal value in Group F. CONCLUSION: The topical anaesthesia of larynx and trachea is effective to reduce the intraocular hypertension due to the reflex response evoked by orotracheal intubation.     

Long-term treatment of psychotic (delusional) depression with fluvoxamine: an open pilot study

The aim of this open pilot study was to evaluate the efficacy of fluvoxamine in the continuation as well as in the maintenance therapy of delusional depression. Thirty patients with recurrent, unipolar depression (DSM-IV criteria) were selected who had at least one depressive episode during the 18 months preceding the delusional depressive index episode and were treated with fluvoxamine 300 mg/day. Twenty-five of them had a sustained response to this short-term treatment and agreed to enter into the 30-month follow up study. All participants completed the follow up period. No relapse was observed during the 6 months of continuation therapy. During the further 24 months of maintenance therapy, 80% of the patients remained well, whereas 20% (five out of 25) had a single recurrence. Based on these observations, fluvoxamine might be a promising drug for long-term therapy of delusional depression. Further controlled studies are required to confirm this finding.     

Synthesis and Evaluation of Voltage-Gated Sodium Channel Blocking Pyrroline Derivatives Endowed with Both Antiarrhythmic and Antioxidant Activities

Under the hypothesis that cardioprotective agents might benefit from synergism between antiarrhythmic activity and antioxidant properties, a small series of mexiletine analogues were coupled with the 2,2,5,5-tetramethylpyrroline moiety, known for its antioxidant effect, in order to obtain dual-acting drugs potentially useful in the protection of the heart against post-ischemic reperfusion injury. The pyrroline derivatives reported herein were found to be more potent as antiarrhythmic agents than mexiletine and displayed antioxidant activity. The most interesting tetramethylpyrroline congener, a tert-butyl-substituted analogue, was at least 100 times more active as an antiarrhythmic than mexiletine.     

Carotenoid Composition and Vitamin A Values of Oils from Four Brazilian Palm Fruits

In oils extracted from fresh and sterilized palm fruits (Elaeis guineensis, Jacq. tenera, dura dumpy and psifera and E. oleifera), cis-phytofluene, 13-cis-α-carotene, α-carotene, 13-cis-β-carotene, β-carotene, 9-cis-β-carotene, σ-carotene, zeaxanthin, --cryptoxanthin, poly-cis-lycopene, mono-lycopene and lycopene, were identified and quantified by normal phase open column chromatography (stepwise-elution), TLC, UV/Vis spectroscopy and specific chemical reactions. The sum of α- and β-carotene in all samples analysed was higher than 80% of the total carotenoid content, while the α/β-carotene ratios were W.9, 1/11.1, 1/22 and V2.6 for oils extracted from fresh fruits of dura dumpy, psifera, tenera and E. oleifera, respectively. Total carotenoid contents (pg/g) and vitamin A values (R. E./100 g) of these samples were 1 120.7 and 12 404 for dura dumpy, 283.2 and 3612 for psifera, 660.5 and 7630 for tenera and 1576.8 and 21691 for E. oleifera. The sterilization of fruits (127°C × 35 min.) resulted in isomerization of pigments and reduction of vitamin A values of approximately 45% and 25%, respectively.     

Biosynthesis of fatty acids byTrypanosoma cruzi

The incorporation of [1-¹⁴C] acetate into fatty acids by cultured epimastigotes ofTrypanosoma cruzi was studied. After 8, 24, and 48 hr incubation with labeled precursor, up to 2.8% of the initial radioactivity added to the medium was found in theT. cruzi long chain fatty acids. Saturated (16∶0 and 18∶0), monounsaturated (18∶1ω9), and diunsaturated (18∶2ω6) fatty acids were synthesized. Both the pattern of incorporation of labeled acetate into the fatty acids and the decarboxylation ratios found suggest that de novo synthesis of fatty acids has taken place.     

Combined analytical solution of overland flow and sediment transport

With reference to the kinematic wave theory coupled with the hypothesis of constant linear velocity for the rating curve, rising limb analytical solutions have been calculated for overland flow, over an Hortonian-infiltrating surface, and sediment discharge. These analytical solutions are certainly easier to use than the numerical integration of the basic equations and they may be used to obtain an initial evaluation of the parameters of more complex models generally devised for complicated cases.Notation a exponent of the Horton law [T^–1] - b exponent of the rill erosion equation - B inter-rill erosion coefficient [ML^–m–2T ^m–1] - c sediment concentration [ML^–3] - c _o reference sediment concentration [ML^–3] - E _I inter-rill erosion [ML^–2T^–1] - E _R rill erosion [ML^–2T^–1] - f _c final infiltration rate of the soil [LT^–1] - f _o initial infiltration rate of the soil [LT^–1] - h flow depth [L] - h _o reference flow depth [L] - i infiltration rate [LT^–1] - k rill erosion coefficient [ML^–1–b T^–1] - K integration constant - L() Laplace transformation - m exponent of the inter-rill erosion equation - n Manning's coefficient [L^–1/3T] - p rainfall intensity [LT^–1] - q water discharge per unit width [L²T^–1] - q _s sediment discharge per unit width [ML^–1T^–1] - t time [T] - t _p ponding time [T] - x distance along the flow direction [L] Greek Letters coefficient of the stage-discharge equation [L^2–T^–1] - exponent of the stage-discharge equation - rill erosion coefficient [L^–1]     

A prismoid framework for languages with resources

Inspired by the Multiplicative Exponential fragment of Linear Logic, we define a framework called the prismoid of resources where each vertex is a language which refines the λ-calculus by using a different choice to make explicit or implicit (meta-level) the definition of the contraction, weakening, and substitution operations. For all the calculi in the prismoid we show simulation of β-reduction, confluence, preservation of β-strong normalisation and strong normalisation for typed terms. Full composition also holds for all the calculi of the prismoid handling explicit substitutions. The whole development of the prismoid is done by making the set of resources a parameter of the formalism, so that all the properties for each vertex are obtained as a particular case of the general abstract proofs.     

Evaluating evolution: Naturalistic inquiry and the Perseus Project

Delia Neuman is an assistant professor in the College of Library and Information Services at the University of Maryland, College Park. She has written several articles on the use of naturalistic inquiry to study electronic environments, including two published in Educational Technology Research and Development: Naturalistic Inquiry and Computer-Based Instruction: Rationale, Procedures and Potential (Spring 1989) and Learning Disabled Students' Interactions with Commercial Courseware: A Naturalistic Study (Spring 1991). She is currently involved in a study funded by the American Library Association to use naturalistic methods to investigate high school students' use of CD-ROM and online databases.     

A Comparison of Short-Term Water Demand Forecasting Models

Water Resources Management - This paper presents a comparison of different short-term water demand forecasting models. The comparison regards six models that differ in terms of: forecasting...