EFFICACY OF PECTORALIS NERVE BLOCKS I & II WITH LIPOSOMAL BUPIVACAINE IN PATIENTS UNDERGOING ELECTIVE BREAST REDUCTION PROCEDURES: A RETROSPECTIVE STUDY

Background: The pectoral nerve (PECs) block I and II nerve blocks with liposomal bupivacaine (LB, Exparel) are used for postoperative analgesia in breast surgery, but evidence on efficacy for breast reduction is limited.We examined the effect of the PECS I and II blocks with LB on perioperative opioid use and pain scores compared to no block and bl

High-speed machining (HSM) is used in industry to improve the productivity and quality of the cutting operations.In this investigation, pure alumina ceramics with the addition of ZrO2, and mixed alumina (Al2O3 + TiC) tools were used in the dry hard turning of AISI 4340 (52 HRC) at different high cutting speeds of 150, 250, 700 and 1000 m/min.It was

This work introduces a new bi-objective optimization model for diamond painting strand en zee the design of a water distribution network (WDN).Reliability and design cost are two contradicting objectives that are optimized.The evolutionary technique multi-objective (MO) Jaya, hereafter referred as MO-JAYANET, is developed for the optimal design of

Pathogenic fungi in the genera Alternaria, Aspergillus, Botrytis, Fusarium, Geotrichum, Gloeosporium, Monilinia, Mucor, Penicillium, and Rhizopus are the most u11-200ps common cause of pre- and postharvest diseases of fruit, vegetable, root and grain commodities.Some species are also able to produce mycotoxins, secondary metabolites having toxic ef

The action of rain and surface runoff together are the active agents of water erosion, and further influences are the soil type, terrain, soil cover, soil management, and conservation practices.Soil water erosion is low in the no-tillage la rams crop top management system, being influenced by the amount and form of lime and fertilizer application t