567 research outputs found
Management of Pain in the United States—A Brief History and Implications for the Opioid Epidemic
Pain management in the United States reflects attitudes to those in pain. Increased numbers of disabled veterans in the 1940s to 1960s led to an increased focus on pain and its treatment. The view of the person in pain has moved back and forth between a physiological construct to an individual with pain where perception may be related to social, emotional, and cultural factors. Conceptually, pain has both a medical basis and a political context, moving between, for example, objective evidence of disability due to pain and subjective concerns of malingering. In the 20th century, pain management became predominately pharmacologic. Perceptions of undertreatment led to increased use of opioids, at first for those with cancer-related pain and then later for noncancer pain without the multidimensional care that was intended. The increased use was related to exaggerated claims in the medical literature and by the pharmaceutical industry, of a lack of addiction in the setting of noncancer pain for these medications—a claim that was subsequently found to be false and deliberatively deceptive; an epidemic of opioid prescribing began in the 1990s. An alarming rise in deaths due to opioids has led to several efforts to decrease use, both in patients with noncancer conditions and in those with cancer and survivors of cancer
Propagators in Noncommutative Instantons
We explicitly construct Green functions for a field in an arbitrary
representation of gauge group propagating in noncommutative instanton
backgrounds based on the ADHM construction. The propagators for spinor and
vector fields can be constructed in terms of those for the scalar field in
noncommutative instanton background. We show that the propagators in the
adjoint representation are deformed by noncommutativity while those in the
fundamental representation have exactly the same form as the commutative case.Comment: 28 pages, Latex, v2: A few typos correcte
Ways of Asking, Ways of Telling: A Methodological Comparison of Ethnographic and Research Diagnostic Interviews
The interpretive understanding that can be derived from interviews is highly influenced by methods of data collection, be they structured or semistructured, ethnographic, clinical, life-history or survey interviews. This article responds to calls for research into the interview process by analyzing data produced by two distinctly different types of interview, a semistructured ethnographic interview and the Structured Clinical Interview for DSM, conducted with participants in the Navajo Healing Project. We examine how the two interview genres shape the context of researcher-respondent interaction and, in turn, influence how patients articulate their lives and their experience in terms of illness, causality, social environment, temporality and self/identity. We discuss the manner in which the two interviews impose narrative constraints on interviewers and respondents, with significant implications for understanding the jointly constructed nature of the interview process. The argument demonstrates both divergence and complementarity in the construction of knowledge by means of these interviewing methods
Evaluation in vitro and in rats of161Tb-DTPA-octreotide, a somatostatin analogue with potential for intraoperative scanning and radiotherapy
The characteristics of terbium-161 diethylene triamine penta-acetic acid (DTPA) labelled octreotide with respect to specific binding to somatostatin (octreotide) receptors on rat brain cortex membranes, biological activity, uptake and excretion by isolated perfused rat livers and metabolism in vivo in normal and tumour-bearing rats were determined and compared to those of indium-111 DTPA-octreotide. The results of the binding studies demonstrate that161Tb-DTPA-octreotide is a high-affinity radioligand for somatostatin receptors, with an affinity comparable to that of111In-DTPA-octreotide. Rat growth hormone secretion inhibition experiments showed that161Tb-DTPA-octreotide has a similar potency to111In-DTPA-octreotide.161Tb-DTPA-octreotide appeared to be taken up even less by the isolated perfused rat liver than111In-DTPA-octreotide, as almost no tracer disappeared from the perfusion medium. Furthermore, hardly any radioactivity was found in the liver, and excretion into the bile was negligible. The biodistribution studies showed that for octreotide receptor-positive organs, such as pancreas and adrenals, uptake of161Tb-DTPA-octreotide is lower then that of111In-DTPA-octreotide. However, as the clearance from the blood of the former compound is faster than that of the latter, the tissue/blood ratio is higher in the case of161Tb-DTPA-octreotide than with111In-DTPA-octreotide. Furthermore, these studies demonstrated that the uptake of161Tb-DTPA-octreotide by the renal tubular cells after glomerular filtration can be reduced by administration of lysine or sodium maleate. Increase in urine production before and during the experiment had no effect on the kidney uptake of161Tb-DTPA-octreotide. Finally, it appeared that a maximal labelling efficiency of161Tb-DTPA-octreotide is essential, as with decreasing efficiency the uptake in the octreotide receptor-positive organs decreased, whereas non-specific uptake in the other organs was increased. It is concluded that, on the basis of the favourable physical characteristics of161Tb combined with the in vitro and in vivo studies performed with161Tb-DTPA-octreotide, the latter is a promising radiopharmaceutical for both intraoperative scanning and radiotherapy. Studies in patients need to be performed now to see whether161Tb-DTPA-octreotide can indeed open new therapeutic applications for patients bearing octreotide receptor-positive tumours
Zero Modes and the Atiyah-Singer Index in Noncommutative Instantons
We study the bosonic and fermionic zero modes in noncommutative instanton
backgrounds based on the ADHM construction. In k instanton background in U(N)
gauge theory, we show how to explicitly construct 4Nk (2Nk) bosonic (fermionic)
zero modes in the adjoint representation and 2k (k) bosonic (fermionic) zero
modes in the fundamental representation from the ADHM construction. The number
of fermionic zero modes is also shown to be exactly equal to the Atiyah-Singer
index of the Dirac operator in the noncommutative instanton background. We
point out that (super)conformal zero modes in non-BPS instantons are affected
by the noncommutativity. The role of Lorentz symmetry breaking by the
noncommutativity is also briefly discussed to figure out the structure of U(1)
instantons.Comment: v3: 24 pages, Latex, corrected typos, references added, to appear in
Phys. Rev.
Charged Kaon K \to 3 pi CP Violating Asymmetries at NLO in CHPT
We give the first full next-to-leading order analytical results in Chiral
Perturbation Theory for the charged Kaon K \to 3 pi slope g and decay rates
CP-violating asymmetries. We have included the dominant Final State
Interactions at NLO analytically and discussed the importance of the unknown
counterterms. We find that the uncertainty due to them is reasonable just for
\Delta g_C, i.e. the asymmetry in the K^+ \to pi^+ pi^+ pi^- slope g; we get
\Delta g_C = -(2.4 +- 1.2) 10^{-5}. The rest of the asymmetries are very
sensitive to the unknown counterterms. In particular, the decay rate
asymmetries can change even sign. One can use this large sentivity to get
valuable information on those counterterms and on Im(G_8) coupling --very
important for the CP-violating parameter epsilon'_K-- from the eventual
measurement of these asymmetries. We also provide the one-loop O(e^2 p^2)
electroweak octet contributions for the neutral and charged Kaon K \to 3 pi
decays.Comment: 43+2 pages, 2 figures. Version accepted in JHEP. Small changes in the
final numerics of CP asymmetries due to change in input valu
Theoretical study of lepton events in the atmospheric neutrino experiments at SuperK
Super-Kamiokande has reported the results for the lepton events in the
atmospheric neutrino experiment. These results have been presented for a 22.5kT
water fiducial mass on an exposure of 1489 days, and the events are divided
into sub-GeV, multi-GeV and PC events. We present a study of nuclear medium
effects in the sub-GeV energy region of atmospheric neutrino events for the
quasielastic scattering, incoherent and coherent pion production processes, as
they give the most dominant contribution to the lepton events in this energy
region. We have used the atmospheric neutrino flux given by Honda et al. These
calculations have been done in the local density approximation. We take into
account the effect of Pauli blocking, Fermi motion, Coulomb effect,
renormalization of weak transition strengths in the nuclear medium in the case
of the quasielastic reactions. The inelastic reactions leading to production of
leptons along with pions is calculated in a - dominance model by
taking into account the renormalization of properties in the nuclear
medium and the final state interaction effects of the outgoing pions with the
residual nucleus. We present the results for the lepton events obtained in our
model with and without nuclear medium effects, and compare them with the Monte
Carlo predictions used in the simulation and the experimentally observed events
reported by the Super-Kamiokande collaboration.Comment: 23 pages, 13 figure
Time-integrated luminosity recorded by the BABAR detector at the PEP-II e+e- collider
This article is the Preprint version of the final published artcile which can be accessed at the link below.We describe a measurement of the time-integrated luminosity of the data collected by the BABAR experiment at the PEP-II asymmetric-energy e+e- collider at the ϒ(4S), ϒ(3S), and ϒ(2S) resonances and in a continuum region below each resonance. We measure the time-integrated luminosity by counting e+e-→e+e- and (for the ϒ(4S) only) e+e-→μ+μ- candidate events, allowing additional photons in the final state. We use data-corrected simulation to determine the cross-sections and reconstruction efficiencies for these processes, as well as the major backgrounds. Due to the large cross-sections of e+e-→e+e- and e+e-→μ+μ-, the statistical uncertainties of the measurement are substantially smaller than the systematic uncertainties. The dominant systematic uncertainties are due to observed differences between data and simulation, as well as uncertainties on the cross-sections. For data collected on the ϒ(3S) and ϒ(2S) resonances, an additional uncertainty arises due to ϒ→e+e-X background. For data collected off the ϒ resonances, we estimate an additional uncertainty due to time dependent efficiency variations, which can affect the short off-resonance runs. The relative uncertainties on the luminosities of the on-resonance (off-resonance) samples are 0.43% (0.43%) for the ϒ(4S), 0.58% (0.72%) for the ϒ(3S), and 0.68% (0.88%) for the ϒ(2S).This work is supported by the US Department of Energy and National Science Foundation, the Natural Sciences and Engineering Research Council (Canada), the Commissariat à l’Energie Atomique and Institut National de Physique Nucléaire et de Physiquedes Particules (France), the Bundesministerium für Bildung und Forschung and Deutsche Forschungsgemeinschaft (Germany), the Istituto Nazionale di Fisica Nucleare (Italy), the Foundation for Fundamental Research on Matter (The Netherlands), the Research Council of Norway, the Ministry of Education and Science of the Russian Federation, Ministerio de Ciencia e Innovación (Spain), and the Science and Technology Facilities Council (United Kingdom). Individuals have received support from the Marie-Curie IEF program (European Union) and the A.P. Sloan Foundation (USA)
Planck 2015 results. XXVII. The Second Planck Catalogue of Sunyaev-Zeldovich Sources
We present the all-sky Planck catalogue of Sunyaev-Zeldovich (SZ) sources detected from the 29 month full-mission data. The catalogue (PSZ2) is the largest SZ-selected sample of galaxy clusters yet produced and the deepest all-sky catalogue of galaxy clusters. It contains 1653 detections, of which 1203 are confirmed clusters with identified counterparts in external data-sets, and is the first SZ-selected cluster survey containing > confirmed clusters. We present a detailed analysis of the survey selection function in terms of its completeness and statistical reliability, placing a lower limit of 83% on the purity. Using simulations, we find that the Y5R500 estimates are robust to pressure-profile variation and beam systematics, but accurate conversion to Y500 requires. the use of prior information on the cluster extent. We describe the multi-wavelength search for counterparts in ancillary data, which makes use of radio, microwave, infra-red, optical and X-ray data-sets, and which places emphasis on the robustness of the counterpart match. We discuss the physical properties of the new sample and identify a population of low-redshift X-ray under- luminous clusters revealed by SZ selection. These objects appear in optical and SZ surveys with consistent properties for their mass, but are almost absent from ROSAT X-ray selected samples
Measurement of the B0-anti-B0-Oscillation Frequency with Inclusive Dilepton Events
The - oscillation frequency has been measured with a sample of
23 million \B\bar B pairs collected with the BABAR detector at the PEP-II
asymmetric B Factory at SLAC. In this sample, we select events in which both B
mesons decay semileptonically and use the charge of the leptons to identify the
flavor of each B meson. A simultaneous fit to the decay time difference
distributions for opposite- and same-sign dilepton events gives ps.Comment: 7 pages, 1 figure, submitted to Physical Review Letter
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