Background: Our institution’s traditional pain management strategy after shoulder arthroplasty has involved the utilization of postoperative patient-controlled narcotic analgesia. More recently, we have implemented a protocol (TLC) that utilizes a multimodal approach. The purpose of this study was to determine whether this change has improved pain control and decreased narcotic utilization. ...

Transport of intensity equation (TIE) is a powerful tool for phase retrieval and quantitative phase imaging, which requires intensity measurements only at axially closely spaced planes without a separate reference beam. It does not require coherent illumination and works well on conventional bright-field microscopes. The quantitative phase reconstructed by TIE gives valuable information that ha...

Minimizing transfer waiting time is important in making public transport networks more attractive. A guaranteed transfer, with the departing vehicle waiting on moderately delayed arriving vehicles at a transfer node, is an effective way to reduce waiting times at transfers between low frequency public transport lines. This secondary train delay comes at the cost of a new delay for non-transferr...

How do English as a lingua franca (ELF) speakers achieve multimodal cohesion on the basis of their specific interests and cultural backgrounds? From a dialogic and collaborative view of communication, this study focuses on how verbal and nonverbal modes cohere together during intercultural conversations. The data include approximately 160-minute transcribed video recordings of ELF interactions ...

conclusions the combination of intravenous paracetamol 1 gr and ketamine 0.5 mg/kg resulted in an overall reduction in pain scores, decreased postoperative analgesic requirements, and lower agitation score compared with intravenous paracetamol 1 gr and tramadol 0.7 mg/kg for patients undergoing renal surgery. results postoperative pain scores were significantly lower in the pk group than in the...