Use of the painDETECT tool in rheumatoid arthritis suggests neuropathic and sensitization components in pain reporting.

Rheumatoid arthritis (RA) is an inflammatory autoimmune condition typified by systemic inflammation targeted toward synovial joints. Inhibition of proinflammatory networks by disease-modifying antirheumatic drugs, eg, methotrexate and biologic therapies, including tumor necrosis factor-α inhibitors, often leads to suppression of disease activity observed at the clinical level. However, despite the era of widespread use of disease-modifying treatments, there remain significant groups of patients who continue to experience pain. Our study formulated a pain assessment tool in the arthritis clinic to assess feasibility of measurements including the visual analog scale (VAS) and painDETECT to assess multimodal features of pain in people with established RA (n=100). Clinical measures of disease activity (Disease Activity Score in 28 Joints [DAS28]) were also recorded. Our data showed that despite the majority of subjects on at least one disease-modifying agent, the majority of patients reported severe pain (54%) by VAS, despite well-controlled clinical disease, with mean DAS28 2.07±0.9. Using the painDETECT questionnaire, 67% of patients had unlikely neuropathic pain. A significant proportion of subjects (28%) had possible neuropathic pain and 5% had features of likely neuropathic pain by painDETECT scoring. We found a positive correlation between VAS and painDETECT (R (2)=0.757). Of note, the group who had likely or probable neuropathic pain also showed significantly increased pain reporting by VAS (P30) also had statistically higher proportions of pain reporting (VAS 89.0±0.7 mm) compared with subjects who had a normal body mass index (VAS 45.2±21.8 mm), P<0.05. Our findings suggest that multimodal features of pain perception exist in RA, including neuropathic and sensitization elements, perhaps explaining why a subgroup of people with RA continue to experience ongoing pain, despite their apparent suppression of inflammation

PrivDRM : a privacy-preserving secure Digital Right Management system

Digital Right Management (DRM) is a technology developed to prevent illegal reproduction and distribution of digital contents. It protects the rights of content owners by allowing only authorised consumers to legitimately access associated digital content. DRM systems typically use a consumer's identity for authentication. In addition, some DRM systems collect consumer's preferences to obtain a content license. Thus, the behaviour of DRM systems disadvantages the digital content consumers (i.e. neglecting consumers' privacy) focusing more on securing the digital content (i.e. biased towards content owners). This paper proposes the Privacy-Preserving Digital Rights Management System (PrivDRM) that allows a consumer to acquire digital content with its license without disclosing complete personal information and without using any third parties. To evaluate the performance of the proposed solution, a prototype of the PrivDRM system has been developed and investigated. The security analysis (attacks and threats) are analysed and showed that PrivDRM supports countermeasures for well-known attacks and achieving the privacy requirements. In addition, a comparison with some well-known proposals shows that PrivDRM outperforms those proposals in terms of processing overhead

Polar Cremona Transformations and Monodromy of Polynomials

Consider the gradient map associated to any non-constant homogeneous polynomial f\in \C[x_0,...,x_n] of degree $d$, defined by \phi_f=grad(f): D(f)\to \CP^n, (x_0:...:x_n)\to (f_0(x):...:f_n(x)) where D(f)=\{x\in \CP^n; f(x)\neq 0\} is the principal open set associated to $f$ and $f_i=\frac{\partial f}{\partial x_i}$. This map corresponds to polar Cremona transformations. In Proposition \ref{p1} we give a new lower bound for the degree $d(f)$ of $\phi_f$ under the assumption that the projective hypersurface $V:f=0$ has only isolated singularities. When $d(f)=1$, Theorem \ref{t4} yields very strong conditions on the singularities of $V$.Comment: 8 page

Hard diffraction in hadron--hadron interactions and in photoproduction

Hard single diffractive processes are studied within the framework of the triple--Pomeron approximation. Using a Pomeron structure function motivated by Regge--theory we obtain parton distribution functions which do not obey momentum sum rule. Based on Regge-- factorization cross sections for hard diffraction are calculated. Furthermore, the model is applied to hard diffractive particle production in photoproduction and in $p\bar{p}$ interactions.Comment: 13 pages, Latex, 13 uuencoded figure