40 research outputs found

    Cannabidiol as a treatment for craving and relapse in individuals with cocaine use disorder : a randomized placebo‐controlled trial

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    Background and Aims Cocaine use disorder (CUD) is a significant public health concern for which no efficacious pharmacological interventions are available. Cannabidiol (CBD) has attracted considerable interest as a promising treatment for addiction. This study tested CBD efficacy for reducing craving and preventing relapse in people with CUD. Design Single site double‐blind randomized controlled superiority trial comparing CBD with placebo. Setting Centre hospitalier de l'UniversitĂ© de MontrĂ©al, Canada. Participants Seventy‐eight adults (14 women) with moderate to severe CUD participated. Intervention Participants were randomly assigned (1:1) by stratified blocks to daily 800 mg CBD (n=40) or placebo (n=38). They first underwent an inpatient detoxification phase lasting 10 days. Those who completed this phase entered a 12‐week outpatient follow‐up. Measurements Primary outcomes were drug‐cue induced craving during detoxication and time‐to‐cocaine relapse during subsequent outpatient treatment. Findings During drug‐cue exposure, craving scores (mean ± SD) increased from baseline by 4.69 (2.89) versus 3.21 (2.78) points respectively in CBD (n=36) and placebo (n=28) participants (CI = ‐0.33 to 3.04; p = 0.069; Bayes factor = 0.498). All but three participants relapsed to cocaine by week 12 with similar risk for CBD (n=34) and placebo (n=27) participants (Hazard Ratio =1.20, CI=0.65 to 2.20, p=0.51; Bayes factor = 0.152). CBD treatment was well tolerated and associated mainly with diarrhea. Conclusions Cannabidiol did not reduce cocaine craving or relapse among people being treated for cocaine use disorder

    The potential for modelling peatland habitat condition in Scotland using long-term MODIS data

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    Funding: All James Hutton Institute authors are supported by the Scottish Government’s Rural and Environment Research and Analysis Directorate under the current Strategic Research Programme (2016-2021). Sally Johnson, Patricia Bruneau and Louise Ross did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors for this project. The peat spatial extent model was created in part within a UK Government – Department for Business, Energy and Industrial Strategy-funded project (TRN860/07/2014, Scoping the use of the methodology set out in Chapters 2 and 3 of the ‘2013 Supplement to the 2006 IPCC Guidelines for National Greenhouse Gas Inventories: Wetlands in the UK GHG Inventory: Land Use, Land Use Change and Forestry (LULUCF)), with further updates created within the Strategic Research Programme (2016-2021) funding.Peer reviewedPostprin

    Wind farm development on peatlands increases fluvial macronutrient loading

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    Wind farms can help to mitigate increasing atmospheric carbon (C) emissions. However, disturbance caused by wind farm development must not have lasting deleterious impacts on landscape C sequestration. To understand the effects of wind farm development on peatlands, we monitored streamwater at Europe’s second largest onshore wind farm (539 MW), Whitelee, Scotland, for 31 months. Using nested catchment sampling to understand impacts on water quality, increasing macronutrient concentrations and exports were associated with wind farm development, particularly forest-felling and borrow pits. Low/poor water quality occurred in small headwater catchments most disturbed by development. At the site exit, dissolved organic C and soluble reactive phosphorus (SRP) concentrations increased during construction, though [SRP] recovery occurred within 2 years. Since C was lost and streamwater quality negatively affected, we propose future good practice measures for wind farm development, including limiting total disturbance within individual catchments and locating borrow pits, where deemed necessary, off site avoiding peatlands

    Attitudinal & Knowledge Barriers towards Effective Pain Assessment & Management in Dementia: A Narrative Synthesis

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    Under-assessment and inadequate treatment of pain is a common problem for older adults, particularly those with dementia. This may be in part attributed to knowledge deficits and negative attitudes among healthcare staff and informal caregivers towards pain, its assessment and its management in dementia. Knowledge and attitudes have a significant predictive relationship with behavior, potentially impacting pain assessment and management practices. Despite this there remains a paucity of research in the area and a lack of clarity about existing knowledge levels and attitudes among dementia caregivers. Therefore, the aims of this review were to: identify what knowledge deficits and attitudinal barriers exist amongst dementia caregivers; and identify the scales available to measure these. A search was carried out in the following electronic databases: Academic Search Premier; CINAHL; Education Research Complete; Humanities International Journals; Psychology and Behavioral Sciences Collection; PsychINFO; PsychArticles; Teacher Reference Center; and MEDLINE. A total of 13 articles met the inclusion criteria. A number of knowledge deficits and negative attitudes were identified, particularly in the use self-reports and pain assessment tools in dementia, and the safety of opioids. Understanding and positive attitudes were demonstrated in some areas, such as non-narcotic pain medications and identifying behavioral pain indicators. Of the 4 scales identified, positive results were found for internal consistency and content validity, however further refinement and testing is necessary. It was concluded attitudinal and knowledge barriers exist which should be addressed given their influence over practice behavior, however, there is a willingness and knowledge base from which progress can build

    The effects of soil horizons and faunal excrement on bacterial distribution in an upland grassland soil

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    The density and spatial location of bacteria were investigated within different horizons of an upland grassland soil before and after a liming treatment to increase the numbers of large soil fauna. Bacterial cells were located by image analysis of stained thin sections and densities calculated from these data. Excrement from macro- and meso-fauna was identified using micromorphology and the densities of bacteria on specific areas of excrement measured by image analysis. There were significant differences among horizons in the density of bacterial cells, with the minimum density found in the horizon with least evidence of earthworm activity, but no difference in density between the organic H and organo-mineral Ah horizons. Soil improvement by liming significantly increased bacterial densities in all three horizons, with the greatest increase found in the horizon with the smallest density before liming. There were no differences in bacterial density between areas dominated by excrement from earthworms and excrement from enchytraeids, although densities in both areas were significantly increased by liming. Variability in bacterial density at spatial scales of less than 1 mm was linked to the occurrence of excrement. Bacterial densities within areas of both types of excrement were significantly greater than those in the surrounding soil. However, the frequency distribution of the ratios of density in excrement to that in the soil was bimodal, with a majority of occurrences having a ratio near 1 and only some 20–30% having a much larger ratio. These variations can probably be explained by variations in the age of the excrement and its suitability as a substrate

    Spatial heterogeneity in the relocation of added C-13 within the structure of an upland grassland soil

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    A pulse of 13CO2 was added to the above ground vegetation in an upland grassland to determine the effects of faunal diversity on the flux of carbon to the surface horizons of the soil. Faunal diversity was manipulated by liming and biocide treatments for three years prior to the pulse addition. The relocation of 13C within roots and rhizosphere soil was determined by analysis of samples of bulk soil and of specific features identified on soil thin sections on four dates after the addition of the 13CO2 pulse. Analysis of bulk soils showed only a small enrichment in 13C and no significant effects of the treatments. Analysis by isotope ratio mass spectrometry of the products of in situ laser combustion of root material and aggregates formed from faunal excrement showed that the distribution of the newly photosynthesised 13C is very localised, with large spatial variability in soil and root ή13C at scales of less than 1 mm. ή13C values ranged from the natural abundance level of around −28‰ to −4.9‰ in roots and to −8.4‰ in aggregates. The small pulse and large spatial variability masked any effects of the liming and biocide treatments in these soils. However, the variability in the relocation of newly photosynthesised carbon may help to explain the large spatial variability found in bacterial numbers at the sub-mm scale within soils and emphasises the importance of the accessibility of substrates to decomposers in undisturbed structured soils

    Comparative investigation of solar cell thin film processing using nanosecond and femtosecond lasers

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    International audiencelaser-machining of CuInSe2-based photovoltaic devices. Therefore, ablation thresholds and ablation rates of ZnO, CuInSe2 and Mo thin films have been measured for irradiation with nanosecond laser pulses of ultraviolet and visible light and subpicosecond laser pulses of a Ti : sapphire laser. The experimental results were compared with the theoretical evaluation of the samples heat regime obtained from numerical calculations. In addition, the photo-electrical properties of the solar cells were measured before and after laser-machining. Scanning electron microscopy and energy dispersive x-ray analyses were employed to characterize the laser-induced ablation channels. As a result, two phenomena were found to limit the laser-machining process: (i) residues of Mo that were projected onto the walls of the ablation channel and (ii) the metallization of the CuInSe2 semiconductor close to the channel. Both effects lead to a shunt in the device that decreases the photovoltaic efficiency. As a consequence of these limiting effects, micromachining of CuInSe2-based solar cells was not possible with nanosecond laser pulses. Only subpicosecond laser pulses provided selective or complete ablation of the thin layers without a relevant change in the photoelectrical properties

    Airborne lidar measurements of aerosol spatial distribution and optical properties over the Atlantic Ocean during a European pollution outbreak of ACE-2

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    International audienceAirborne lidar measurements of the aerosol spatial distribution and optical properties associated with an European pollution outbreak which occured during the Second Aerosol Characterization Experiment (ACE-2) are presented. Size distribution spectra measured over the ocean near Sagres (Portugal), on-board the Research Vessel Vodyanitsky and on-board the Avion de Recherche AtmosphĂ©rique et TĂ©lĂ©dĂ©tection (ARAT) have been used to parameterize the aerosol vertical distribution. This parameterization, which is essential to the analysis of airborne lidar measurements, has been validated via closure experiments on extinction coefficient profiles and aerosol optical depth (AOD). During the studied event, AOD7’s retrieved from lidar measurements at 0.73 ÎŒm range between 0.055 and 0.10. The parameterized aerosol vertical distribution has been used to shift AOD retrievals from 0.73 to 0.55 ÎŒm to enable comparison with other remote sensing instruments. At the latter wavelength, AOD’s retrieved from lidar measurements range between 0.08 and 0.14. An agreement better than 20% is obtained between AOD’s derived from lidar and sunphotometer measurements made at the same time and place over the ocean near the coast. However, large differences are observed with the AOD estimated from Meteosat imagery in the same area. These differences are thought to be caused by large uncertainties associated with the Meteosat sensitivity for small AOD’s or by the presence of thin scattered clouds. Lidar-derived particulate extinction profiles and scattering coefficient profiles measured by a nephelometer mounted on the ARAT, in a different part of the plume, were found in good agreement, which could be an indication that absorption by pollution aerosols is small and/or that soot is present in small amounts in the European pollution plume. Lidar measurements have also been used to differentiate the contribution of different aerosol layers to the total AOD. It is shown that the AOD in the marine atmospheric boundary layer (MABL) can contribute as much as 70% of the total AOD in some regions. At 0.73 ÎŒm, the AOD in the continental plume was observed to diminish with the distance to the coastline from 0.04 to 0.03
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