Effects of conventional vs high-dose rocuronium on the QTc interval during anesthesia induction and intubation in patients undergoing coronary artery surgery: a randomized, double-blind, parallel trial

Myocardial ischemia, as well as the induction agents used in anesthesia, may cause corrected QT interval (QTc) prolongation. The objective of this randomized, double-blind trial was to determine the effects of high- vs conventional-dose bolus rocuronium on QTc duration and the incidence of dysrhythmias following anesthesia induction and intubation. Fifty patients about to undergo coronary artery surgery were randomly allocated to receive conventional-dose (0.6 mg/kg, group C, n=25) or high-dose (1.2 mg/kg, group H, n=25) rocuronium after induction with etomidate and fentanyl. QTc, heart rate, and mean arterial pressure were recorded before induction (T0), after induction (T1), after rocuronium (just before laryngoscopy; T2), 2 min after intubation (T3), and 5 min after intubation (T4). The occurrence of dysrhythmias was recorded. In both groups, QTc was significantly longer at T3 than at baseline [475 vs 429 ms in group C (P=0.001), and 459 vs 434 ms in group H (P=0.005)]. The incidence of dysrhythmias in group C (28%) and in group H (24%) was similar. The QTc after high-dose rocuronium was not significantly longer than after conventional-dose rocuronium in patients about to undergo coronary artery surgery who were induced with etomidate and fentanyl. In both groups, compared with baseline, QTc was most prolonged at 2 min after intubation, suggesting that QTc prolongation may be due to the nociceptive stimulus of intubation.

Metronomic chemotherapy in the neoadjuvant setting: results of two parallel feasibility trials (TraQme and TAME) in patients with HER2+ and HER2− locally advanced breast cancer

Neoadjuvant chemotherapy has practical and theoretical advantages over adjuvant chemotherapy strategy in breast cancer (BC) management. Moreover, metronomic delivery has a more favorable toxicity profile. The present study examined the feasibility of neoadjuvant metronomic chemotherapy in two cohorts [HER2+ (TraQme) and HER2− (TAME)] of locally advanced BC. Twenty patients were prospectively enrolled (TraQme, n=9; TAME, n=11). Both cohorts received weekly paclitaxel at 100 mg/m2 during 8 weeks followed by weekly doxorubicin at 24 mg/m2 for 9 weeks in combination with oral cyclophosphamide at 100 mg/day (fixed dose). The HER2+ cohort received weekly trastuzumab. The study was interrupted because of safety issues. Thirty-six percent of patients in the TAME cohort and all patients from the TraQme cohort had stage III BC. Of note, 33% from the TraQme cohort and 66% from the TAME cohort displayed hormone receptor positivity in tumor tissue. The pathological complete response rates were 55% and 18% among patients enrolled in the TraQme and TAME cohorts, respectively. Patients in the TraQme cohort had more advanced BC stages at diagnosis, higher-grade pathological classification, and more tumors lacking hormone receptor expression, compared to the TAME cohort. The toxicity profile was also different. Two patients in the TraQme cohort developed pneumonitis, and in the TAME cohort we observed more hematological toxicity and hand-foot syndrome. The neoadjuvant metronomic chemotherapy regimen evaluated in this trial was highly effective in achieving a tumor response, especially in the HER2+ cohort. Pneumonitis was a serious, unexpected adverse event observed in this group. Further larger and randomized trials are warranted to evaluate the association between metronomic chemotherapy and trastuzumab treatment.

Implementing Green IT approach for transferring Big Data over Parallel Data Link

The whole research of the current Master Thesis project is related to Big Data transfer over Parallel Data Link and my main objective is to assist the Saint-Petersburg National Research University ITMO research team to accomplish this project and apply Green IT methods for the data transfer system. The goal of the team is to transfer Big Data by using parallel data links with SDN Openflow approach. My task as a team member was to compare existing data transfer applications in case to verify which results the highest data transfer speed in which occasions and explain the reasons. In the context of this thesis work a comparison between 5 different utilities was done, which including Fast Data Transfer (FDT), BBCP, BBFTP, GridFTP, and FTS3. A number of scripts where developed which consist of creating random binary data to be incompressible to have fair comparison between utilities, execute the Utilities with specified parameters, create log files, results, system parameters, and plot graphs to compare the results. Transferring such an enormous variety of data can take a long time, and hence, the necessity appears to reduce the energy consumption to make them greener. In the context of Green IT approach, our team used Cloud Computing infrastructure called OpenStack. It’s more efficient to allocated specific amount of hardware resources to test different scenarios rather than using the whole resources from our testbed. Testing our implementation with OpenStack infrastructure results that the virtual channel does not consist of any traffic and we can achieve the highest possible throughput. After receiving the final results we are in place to identify which utilities produce faster data transfer in different scenarios with specific TCP parameters and we can use them in real network data links.

A Bridge

An artistic shot of a one lane bridge near Brock.

Enclosed Bridge

One of the so called enclosed bridges connecting modules of the Mackenzie Chown Complex.

A New guide to Niagara Falls and vicinity : giving a full and complete description of Niagara Falls, suspension bridge, Buffalo, Rochester, Ontario beach, Toronto, Lockport, Tonawanda, Lewiston, Niagara-on-the-Lake, Chautauqua, and other places of interest. --

Cover title: Illustrated guide to Niagara Falls and vicinity.

Second Welland Canal - Book 2, Survey Map 11 - Marlatts Bridge in Thorold

Survey map of the Second Welland Canal created by the Welland Canal Company showing the canal in Thorold Township. Identified structures associated with the Canal include the towing path. The surveyors' measurements and notes can be seen in red and black ink and pencil. Local area landmarks are also identified and include streets and roads(ex. Road to Allanburgh), Marlatt's Bridge, Marlatt's Culvert, Marlatt's Dwelling House, Willson's Dwelling House, Willson's Tannery, a flume, a bridge house, a covered drain, and a creek. Properties and property owners of note are: Lots 49, 50, and 51, Hiram Marlatt, Willson, John Kelley, and E. Hopkins.

Second Welland Canal - Book 3, Survey Map 8 - Quaker Bridge in Thorold

Survey map of the Second Welland Canal created by the Welland Canal Company showing the canal in the Thorold Township between Port Robinson and Welland. Identified structures and features associated with the Canal include the towing path, back ditch, and the waterway itself. The surveyors' measurements and notes can be seen in red and black ink and pencil. Local area landmarks are also identified and include roads and streets (ex. Road to Port Robinson), Quaker Bridge, Hagar's Wood Wharf, Spoil Bank, and several ponds. Properties and property owners of note are: Lots 222, 223, and 224, Johnathan Hagar, E. Shotwell, and Alem Marr.

Second Welland Canal - Book 3, Survey Map 13 - Village of Welland - Merrittville and Crowland

Survey map of the Second Welland Canal created by the Welland Canal Company showing the township of Crowland as well as the Village of Welland-Merritville. Identified structures associated with the Canal include Old Canal, old towing path, water way, bridge, culvert, covered drain, drain, and towing path. Surveyor measurements and notes can be seen in red and black ink and pencil. Local area landmarks include E. Seeley's store, W.A. Bald's store, barn, and two ponds. Roads parallel to Canal include the old towing road, towing path, Canal Street, road to Welland_lle, and road to Junction. Roads perpendicular to Canal include Road Allowance between the 5th and 6th Concession, Division Street, Road to Narrows. Properties and property owners are noted as W.A. Bald, E. Seeley, John Price, Eli Mead, Jacob Griffith, John Hellems. Lots noted are: Lots Number 25, 26, 5th Concession.

Second Welland Canal - Book 3, Survey Map 14 - Village of Junction and Crowland

Survey map of the Second Welland Canal created by the Welland Canal Company showing the border area of the townships of Crowland and Humberstone, as well as the Village of Junction. Identified structures associated with the Canal include ditches, guard lock, old canal, new towing path, bridge, feeder to Dunnville, covered drain. Surveyor measurements and notes can be seen in red and black ink and pencil. Local area landmarks include James Turf Tavern and possible marshland. Roads parallel to Canal include western Road Allowance, the new towing road, road to Welland and road to Junction. Roads perpendicular to Canal include Road Allowance between the 5th and 6th Concession. Properties and property owners are noted as Thomas. C. Street, James Tuft, and John Hellems. Lots noted are: Lots Number 26, 27, 6th Concession.

Second Welland Canal - Book 3, Survey Map 15 - Village of Junction and Crowland

Survey map of the Second Welland Canal created by the Welland Canal Company showing the border area of the townships of Crowland and Humberstone, as well as the Village of Junction. Identified structures associated with the Canal include ditches, Junction Lock, bridge, feeder to Marshville, and spoil banks. Surveyor measurements and notes can be seen in red and black ink and pencil. Local area landmarks include the Gore between Crowland and Humberstone, pond, creek, H. Hellems Wharf Lot, John Toyne property, School House, Tavern, Barn, and House. Roads parallel to Canal include southern Road Allowance and the Road to Port Colborne. Roads perpendicular to Canal include Road Allowance between the 6th and 7th Concession. Properties and property owners are noted as Thomas Street, John Hellems, James Boyd, John Toyne, and F. Holmes. Lots noted are: Lots Number 25, 26, 27, 7th Concession.