Lithium : old & new uses in medicine

Lithium has been used in psychiatry since 1949, and since the mid 1960s its use has escalated until it is estimated that about 500,000 patients receive it world-wide. During the last decade a new phase of interest in lithium has begun. Lithium is being used with beneficial effects as a treatment in other health related problems unrelated to psychiatry.peer-reviewe

On the fine structure of medium energy electron fluxes in the auroral zone and related effects in the ionospheric D-region

This study is based on measurements of trapped and precipitated electrons of energy &gt;30 keV and &gt;100 keV observed by polar orbiting environmental satellites during overpasses of the imaging riometer at Kilpisjärvi, Finland. The satellites are in sun-synchronous orbits of about 850 km altitude, recording the electron fluxes at 2-s time resolution. The riometer measures the radiowave absorption at 38.2 MHz, showing the spatial pattern within a 240 km field of view. <br><br> The analysis has focussed on two areas. Having found a close correlation between the radiowave absorption and the medium-energy electron fluxes during satellite overpasses, empirical relationships are derived, enabling one quantity to be predicted from the other for three sectors of local time. It is shown that small-scale variations observed during a pass are essentially spatial rather than temporal. <br><br> Other properties, such as the spectra and the relation between precipitated and trapped components, are also considered in the light of the theory of pitch angle scattering by VLF waves. It is found that the properties and behaviour depend strongly on the time of day. In the noon sector, the precipitated and trapped fluxes are highly correlated through a square law relationship

A critical review of the experimental data for developed free turbulent shear layers

Experimental shear layer data are reviewed and the results are compared to numerical predictions for three test cases. It was concluded from the study that many, if not most, of the apparent inconsistencies which exist in the interpretation of the experimental data for free shear layers result from confusing data taken in developed turbulent flows with those taken in transitional or developing flows. Other conclusions drawn from the study include the following: (1) The effects of Mach number are more uncertain primarily because of limited data and the absence of any turbulence measurements for supersonic shear layers. (2) The data available for heterogeneous shear layers are not sufficient to clearly establish the effect of density ratio on mixing rate

Mean flow field and surface heating produced by unequal shock interactions at hypersonic speeds

Mean velocity profiles were measured in a free shear layer produced by the interaction of two unequal strength shock waves at hypersonic free-stream Mach numbers. Measurements were made over a unit Reynolds number range of 3,770,000 per meter to 17,400,000 per meter based on the flow on the high velocity side of the shear layer. The variation in measured spreading parameters with Mach number for the fully developed flows is consistent with the trend of the available zero velocity ratio data when the Mach numbers for the data given in this study are taken to be characteristic Mach numbers based on the velocity difference across the mixing layer. Surface measurements in the shear-layer attachment region of the blunt-body model indicate peak local heating and static pressure consistent with other published data. Transition Reynolds numbers were found to be significantly lower than those found in previous data

Acupuncture for chronic neck pain: a pilot for a randomised controlled trial

Background: Acupuncture is increasingly being used for many conditions including chronic neck pain. However the evidence remains inconclusive, indicating the need for further well-designed research. The aim of this study was to conduct a pilot randomised controlled parallel arm trial, to establish key features required for the design and implementation of a large-scale trial on acupuncture for chronic neck pain. Methods: Patients whose GPs had diagnosed neck pain were recruited from one general practice, and randomised to receive usual GP care only, or acupuncture ( up to 10 treatments over 3 months) as an adjunctive treatment to usual GP care. The primary outcome measure was the Northwick Park Neck Pain Questionnaire (NPQ) at 3 months. The primary analysis was to determine the sample size for the full scale study. Results: Of the 227 patients with neck pain identified from the GP database, 28 (12.3%) consenting patients were eligible to participate in the pilot and 24 (10.5%) were recruited to the trial. Ten patients were randomised to acupuncture, receiving an average of eight treatments from one of four acupuncturists, and 14 were randomised to usual GP care alone. The sample size for the full scale trial was calculated from a clinically meaningful difference of 5% on the NPQ and, from this pilot, an adjusted standard deviation of 15.3%. Assuming 90% power at the 5% significance level, a sample size of 229 would be required in each arm in a large-scale trial when allowing for a loss to follow-up rate of 14%. In order to achieve this sample, one would need to identify patients from databases of GP practices with a total population of 230,000 patients, or approximately 15 GP practices roughly equal in size to the one involved in this study (i.e. 15,694 patients). Conclusion: This pilot study has allowed a number of recommendations to be made to facilitate the design of a large-scale trial, which in turn will help to clarify the existing evidence base on acupuncture for neck pain

Depression and anxiety in prostate cancer: a systematic review and meta-analysis of prevalence rates

ObjectivesTo systematically review the literature pertaining to the prevalence of depression and anxiety in patients with prostate cancer as a function of treatment stage.DesignSystematic review and meta-analysis.Participants4494 patients with prostate cancer from primary research investigations.Primary outcome measureThe prevalence of clinical depression and anxiety in patients with prostate cancer as a function of treatment stage.ResultsWe identified 27 full journal articles that met the inclusion criteria for entry into the meta-analysis resulting in a pooled sample size of 4494 patients. The meta-analysis of prevalence rates identified pretreatment, on-treatment and post-treatment depression prevalences of 17.27% (95% CI 15.06% to 19.72%), 14.70% (95% CI 11.92% to 17.99%) and 18.44% (95% CI 15.18% to 22.22%), respectively. Pretreatment, on-treatment and post-treatment anxiety prevalences were 27.04% (95% CI 24.26% to 30.01%), 15.09% (95% CI 12.15% to 18.60%) and 18.49% (95% CI 13.81% to 24.31%), respectively.ConclusionsOur findings suggest that the prevalence of depression and anxiety in men with prostate cancer, across the treatment spectrum, is relatively high. In light of the growing emphasis placed on cancer survivorship, we consider that further research within this area is warranted to ensure that psychological distress in patients with prostate cancer is not underdiagnosed and undertreated

Psychological meaning with special reference to logical meaning

(1) An introductory section dealing with: A. A brief summary of the various viewpoints. B. Historical orientation of the subject. C. An examination of the critical terms, Psychological, and Meaning.(2) An analysis of experience at the primitive levels with a critical discussion of the psychological act, and its motivating factors.(3) Meaning at the Perceptual level,involving a critical analysis of the factors entering into and constituting perceptual experience.(4) Two short notes on Attention and Affective association.(5) Meaning at Ideational level, with a discussion of imaging and imagination.(6) A section on Experimental evidence.(7) Meaning at the Conceptual level,and higher thought processes of judging, comparing,and reasoning

Configurational order-disorder induced metal-nonmetal transition in B13_{13}C2_{2} studied with first-principles superatom-special quasirandom structure method

Due to a large discrepancy between theory and experiment, the electronic character of crystalline boron carbide B$_{13}$C$_{2}$ has been a controversial topic in the field of icosahedral boron-rich solids. We demonstrate that this discrepancy is removed when configurational disorder is accurately considered in the theoretical calculations. We find that while ordered ground state B$_{13}$C$_{2}$ is metallic, configurationally disordered B$_{13}$C$_{2}$, modeled with a superatom-special quasirandom structure method, goes through a metal to non-metal transition as the degree of disorder is increased with increasing temperature. Specifically, one of the chain-end carbon atoms in the CBC chains substitutes a neighboring equatorial boron atom in a B$_{12}$ icosahedron bonded to it, giving rise to a B$_{11}$C$^{e}$(BBC) unit. The atomic configuration of the substitutionally disordered B$_{13}$C$_{2}$ thus tends to be dominated by a mixture between B$_{12}$(CBC) and B$_{11}$C$^{e}$(BBC). Due to splitting of valence states in B$_{11}$C$^{e}$(BBC), the electron deficiency in B$_{12}$(CBC) is gradually compensated