Schizophrenia is ranked among the top 10 global burdens of disease. About 1% of people meet the diagnostic criteria for this disorder over their lifetime. Schizophrenic patients can develop cataract, particularly related to age and medications, requiring surgery and anesthesia. Many concerning factors, including cognitive function, anxiety, behavioral issues, poor cooperation and paroxysmal movements, may lead to general anesthesia as the default method. Antipsychotic agents should be continued during the perioperative period if possible. Topical/regional anesthesia is suitable in most schizophrenic patients undergoing cataract surgery. It reduces potential drug interactions and many postoperative complications; however, appropriate patient selection is paramount to its success. General anesthesia remains the primary technique for patients who are considered unsuitable for the topical/regional technique. Early involvement of a psychiatrist in the perioperative period, especially for patients requiring general anesthesia, is beneficial but often under-utilized. This narrative review summarizes the anesthetic considerations for cataract surgery in patients with schizophrenia.
Quality of service (QoS)-aware data gathering in static-channel based underwater wireless sensor networks (UWSNs) is severely limited due to location and time-dependent acoustic channel communication characteristics. This paper proposes a novel cross-layer QoS-aware multichannel routing protocol called QoSRP for the internet of UWSNs-based time-critical marine monitoring applications. The proposed QoSRP scheme considers the unique characteristics of the acoustic communication in highly dynamic network topology during gathering and relaying events data towards the sink. The proposed QoSRP scheme during the time-critical events data-gathering process employs three basic mechanisms, namely underwater channel detection (UWCD), underwater channel assignment (UWCA) and underwater packets forwarding (UWPF). The UWCD mechanism finds the vacant channels with a high probability of detection and low probability of missed detection and false alarms. The UWCA scheme assigns high data rates channels to acoustic sensor nodes (ASNs) with longer idle probability in a robust manner. Lastly, the UWPF mechanism during conveying information avoids congestion, data path loops and balances the data traffic load in UWSNs. The QoSRP scheme is validated through extensive simulations conducted by NS2 and AquaSim 2.0 in underwater environments (UWEs). The simulation results reveal that the QoSRP protocol performs better compared to existing routing schemes in UWSNs.