Pain in ICU patients should be managed effectively and safely. Fentanyl and Paracetamol are used frequently in ICU. However experience using IV Paracetamol in the setting of critically ill patients is limited. We evaluated the analgesic effect and adverse reactions of intravenous Paracetamol compared to Fentanyl in ICU patients with mild to moderate pain. Forty patients in a general ICU were ra...

in this paper, the results of design and implementation of the subsystems for generating loran pulse are proposed based on method of carrier’s pulse width change. in order to generate the desired pulse, firstly a pwm signal generated and then it is applied to a class-d switching amplifier. the results show that by generating appropriate pulses in digital fpga subsystem for application in switch...

Polymer electrolyte fuel cell (PEFC) membranes are subject to radical-induced degradation. Antioxidant strategies for hydrocarbon-based ionomers containing aromatic units can focus on intermediates that formed upon attack by hydroxyl radicals (HO · ). Among the different intermediates, cation radical P ·+ is most promising target repair, example cerium(III). For “repair” reaction of Ce(III) wit...

Steroid therapy has been proven beneficial in the treatment of SARS-CoV2 various trials all around world. However, dosing and timing this are crucial still under debate. Studies exist regarding use Pulse IV steroids illness, but it not widely used accepted throughout Here we describe four cases who presented to a tertiary care center India within first week with moderate severe disease activity...

background: to manage relapsing‑remitting multiple sclerosis (ms) in the course of acute exacerbations, methylprednisolone (mp) (medrol or solu‑medrol), has the ability to lock the injured blood‑brain barrier and decrease irritation in the central nervous system. the aim of this preliminary study was to investigate the frequency and time interval related to mp pulse therapy in patients with ms....

OFDM-based waveforms with filtering or windowing functionalities are considered key enablers for a flexible air-interface design for multi-service support in future 5G systems. One candidate from this category of waveforms is pulse shaped OFDM, which follows the idea of subcarrier filtering and aims at fully maintaining the advantages of standard OFDM systems while addressing their drawbacks. I...

Weakly electric fish of the pulse type electrolocate objects in the dark by emitting discrete electric organ discharges (EODs) separated by intervals of silence. Two neighbouring pulse-type fish often reduce the risk of discharging simultaneously by means of an 'echo response': one fish will respond to a neighbour's EOD with a discharge of its own following at a fixed short latency so that its ...

the stereochemistry of the actinide elements has recently undergone considerable development and a wide variety of coordination numbers and geometries have been observed. this structural versatility arises from the lack of strong crystal field effects for the 5f-electronic configurations as well as from the large ionic radii of these metal ions, which change markedly with oxidation number, or a...