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We develop an iterative relaxation algorithm called RIBRA for NMR protein backbone assignment. RIBRA applies nearest neighbor and weighted maximum independent set algorithms to solve the problem. To deal with noisy NMR spectral data, RIBRA is executed in an iterative fashion based on the quality of spectral peaks. We first produce spin system pairs using the spectral data without missing peaks, then the data group with one missing peak, and finally, the data group with two missing peaks. We test RIBRA on two real NMR datasets, hbSBD and hbLBD, and perfect BMRB data (with 902 proteins) and four synthetic BMRB data which simulate four kinds of errors. The accuracy of RIBRA on hbSBD and hbLBD are 91.4% and 83.6%, respectively. The average accuracy of RIBRA on perfect BMRB datasets is 98.28%, and 98.28%, 95.61%, 98.16%, and 96.28% on four kinds of synthetic datasets, respectively.
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http://dx.doi.org/10.1089/cmb.2006.13.229 | DOI Listing |
Reg Anesth Pain Med
September 2025
Center for Outcomes Research and Department of Anesthesiology, Critical Care and Pain Medicine, McGovern Medical School at UTHealth Houston, Houston, Texas, USA.
Background: Skeletal muscle relaxants are often included in multimodal analgesic regimens following spine surgery, but their actual effectiveness remains unclear due to limited and inconsistent evidence. We aimed to evaluate the effectiveness of intravenous methocarbamol in reducing acute postoperative pain and opioid consumption after elective spine surgery.
Methods: This emulated target trial used electronic health record data from patients undergoing elective spine surgery (posterior spinal fusion, anterior cervical discectomy and fusion, laminectomy/laminotomy) between January 1, 2020 and December 31, 2023.
Global Spine J
September 2025
Department of Neurosurgery, Brain and Spine, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
DesignRandomized Controlled Trial.ObjectivePostoperative pain after lumbar spine surgery remains a clinical challenge. Fluoroscopy-guided erector spinae plane block (ESPB) has been proposed as a feasible technique for reducing pain and opioid use, particularly when ultrasound guidance is not available.
View Article and Find Full Text PDFJ Int Med Res
September 2025
Department of Orthopedics, Sanshui Hospital, Zhujiang Hospital, Southern Medical University, China.
ObjectiveTo investigate the analgesic effects of acetaminophen-mannitol injections after endoscopic lumbar discectomy.MethodsThis is a prospective case-control study involving 60 patients who were randomly selected from those who underwent endoscopic lumbar discectomy for lumbar disc herniation or lumbar spinal stenosis at Sanshui District People's Hospital of Foshan between April and September 2024. Two groups were formed by randomly assigning patients, with each group containing 30 individuals.
View Article and Find Full Text PDFEur Spine J
September 2025
Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
Purpose: Intraoperative bleeding remains a major challenge in lumbar spine surgery, with conventional assessment methods lacking standardization. The Validated Intraoperative Bleeding Severity Scale (VIBe) is a structured five-grade tool developed to objectively assess bleeding severity across surgical fields. This study evaluated the clinical utility of VIBe in lumbar spinal fusion by comparing it with conventional bleeding metrics across various hemostatic strategies, including hypotensive anesthesia and local hemostatic agent use.
View Article and Find Full Text PDFEur Spine J
September 2025
Ministry of Health Efeler District Health Directorate, Aydın, Turkey.
Backround: Regional anesthesia techniques are increasingly being utilized as part of multimodal analgesia strategies to reduce postoperative pain and enhance recovery following lumbar spinal surgery. In this study, the effects of erector spinae plane (ESP) block and retrolaminar block (RLB) on postoperative recovery quality and pain were compared.
Methods: Eighty patients scheduled for elective lumbar surgery were randomly assigned to either the ESP or RLB group.