• International Journal of Naval Architecture and Ocean Engineering
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• 제7권4호
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• pp.655-669
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• 2015

The Overall Motion Sickness Incidence is applied to the hull form optimization of a wave piercing high-speed catamaran vessel. Parametric hull modelling is applied to generate two families of derived hull forms, the former varying the prismatic coefficient and the position of longitudinal centre of buoyancy, the latter instead the demi-hull separation. Several heading angles are analysed in a seaway, considering all combinations of significant wave height and zero-crossing period under two operating scenarios. The optimum hull is generated and vertical accelerations at some critical points on main deck are compared with the parent ones. Finally a comparative analysis with the results obtained for a similarly sized monohull passenger ship is carried out, in order to quantify, by the OMSI, the relative goodness in terms of wellness onboard of monohulls and catamarans, as a function of sea states and operating scenarios.

• Journal of Dental Anesthesia and Pain Medicine
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• 제16권4호
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• pp.273-281
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• 2016

Background: Postoperative nausea and vomiting (PONV) is one of the most common postoperative complications. Despite this, few papers have reported the incidence and independent risk factors associated with PONV in the context of oral and maxillofacial surgery (OMFS). Therefore, we sought to determine the incidence of PONV, as well as to identify risk factors for the condition in patients who had undergone OMFS under general anesthesia. Methods: A total of 372 patients' charts were reviewed, and the following potential risk factors for PONV were analyzed: age, sex, body mass index, smoking status, history of PONV and/or motion sickness, duration of anesthesia, amount of blood loss, nasogastric tube insertion and retention and postoperative opioid used. Univariate analysis was performed, and variables with a P-value less than 0.1 were entered into a multiple logistic regression analysis, wherein P-values < 0.05 were considered significant. Results: The overall incidence of PONV was 25.26%. In the multiple logistic regression analysis, the following variables were independent predictors of PONV: age < 30 years, history of PONV and/or motion sickness, and anesthesia duration > 4 h. Furthermore, the number of risk factors was proportional to the incidence of PONV. Conclusions: The incidence of PONV in patients who have undergone OMFS varies from center to center depending on patient characteristics, as well as on anesthetic and surgical practice. Identifying the independent risk factors for PONV will allow physicians to optimize prophylactic, antiemetic regimens.