130 research outputs found
Revision total hip replacement: predictors of blood loss, transfusion requirements, and length of hospitalisation
Experimental constraints on the -nucleus real potential
In a search for mesic states, the production of -mesons in
coincidence with forward going protons has been studied in photon induced
reactions on C for incident photon energies of 1250 - 3100 MeV. The
pairs from decays of bound or quasi-free -mesons have
been measured with the CBELSA/TAPS detector system in coincidence with protons
registered in the MiniTAPS forward array. Structures in the total energy
distribution of the pairs, which would indicate the population
and decay of bound B states, are not observed. The
cross section of 0.3 nb/MeV/sr observed in the bound state energy regime
between -100 and 0 MeV may be accounted for by yield leaking into the bound
state regime because of the large in-medium width of the -meson. A
comparison of the measured total energy distribution with calculations suggests
the real part of the B potential to be small and only
weakly attractive with 35(stat) 20(syst) MeV
in contrast to some theoretical predictions of attractive potentials with a
depth of 100 - 150 MeV.Comment: 13 pages, 8 figure
First measurement of the helicity asymmetry for in the resonance region
The first measurement of the helicity dependence of the photoproduction cross
section of single neutral pions off protons is reported for photon energies
from 600 to 2300\,MeV, covering nearly the full solid angle. The data are
compared to predictions from the SAID, MAID, and BnGa partial wave analyses.
Strikingly large differences between data and predictions are observed which
are traced to differences in the helicity amplitudes of well known and
established resonances. Precise values for the helicity amplitudes of several
resonances are reported
Photoproduction of eta mesons from the neutron: cross sections and double polarization observable E
Photoproduction of mesons from neutrons} \abstract{Results from
measurements of the photoproduction of mesons from quasifree protons and
neutrons are summarized. The experiments were performed with the CBELSA/TAPS
detector at the electron accelerator ELSA in Bonn using the
decay. A liquid deuterium target was used for the
measurement of total cross sections and angular distributions. The results
confirm earlier measurements from Bonn and the MAMI facility in Mainz about the
existence of a narrow structure in the excitation function of . The current angular distributions show a forward-backward
asymmetry, which was previously not seen, but was predicted by model
calculations including an additional narrow state. Furthermore, data
obtained with a longitudinally polarized, deuterated butanol target and a
circularly polarized photon beam were analyzed to determine the double
polarization observable . Both data sets together were also used to extract
the helicity dependent cross sections and . The
narrow structure in the excitation function of
appears associated with the helicity-1/2 component of the reaction
Do ethnobotanical and laboratory data predict clinical safety and efficacy of anti-malarial plants?
<p>Abstract</p> <p>Background</p> <p>Over 1200 plant species are reported in ethnobotanical studies for the treatment of malaria and fevers, so it is important to prioritize plants for further development of anti-malarials.</p> <p>Methods</p> <p>The “RITAM score” was designed to combine information from systematic literature searches of published ethnobotanical studies and laboratory pharmacological studies of efficacy and safety, in order to prioritize plants for further research. It was evaluated by correlating it with the results of clinical trials.</p> <p>Results and discussion</p> <p>The laboratory efficacy score correlated with clinical parasite clearance (r<sub>s</sub>=0.7). The ethnobotanical component correlated weakly with clinical symptom clearance but not with parasite clearance. The safety component was difficult to validate as all plants entering clinical trials were generally considered safe, so there was no clinical data on toxic plants.</p> <p>Conclusion</p> <p>The RITAM score (especially the efficacy and safety components) can be used as part of the selection process for prioritising plants for further research as anti-malarial drug candidates. The validation in this study was limited by the very small number of available clinical studies, and the heterogeneity of patients included.</p
Struggles over access to the Muslim public sphere: Multiple publics and discourses on agency, belonging and citizenship (Introduction to the Themed Section)
Abstract This introductory essay provides the context for the articles in this Themed
Section. Despite the diversity in locations, historical backgrounds and contemporary
processes of change, all contributors to this Themed Section focus on the struggle of
Muslim groups over access to an emergent Muslim public sphere. They highlight the
contestations of and shifts in the notions of agency, belonging, and citizenship in
nation-states with Muslim communities within its borders. The introduction consists
of two parts. The first part reviews the notion of the public sphere as conceptualized by
Habermas and critiqued by scholars of a diversity of backgrounds. In relation to the
concept of the Muslim public sphere, three aspects of critique are given closer
c
Evaluation and pharmacovigilance of projects promoting cultivation and local use of Artemisia annua for malaria
<p>Abstract</p> <p>Background</p> <p>Several non-governmental organisations (NGOs) are promoting the use of <it>Artemisia annua </it>teas as a home-based treatment for malaria in situations where conventional treatments are not available. There has been controversy about the effectiveness and safety of this approach, but no pharmacovigilance studies or evaluations have been published to date.</p> <p>Method</p> <p>A questionnaire about the cultivation of <it>A. annua</it>, treatment of patients, and side-effects observed, was sent to partners of the NGO Anamed in Kenya and Uganda. Some of the respondents were then selected purposively for more in-depth semi-structured interviews.</p> <p>Results</p> <p>Eighteen partners in Kenya and 21 in Uganda responded. 49% reported difficulties in growing the plant, mainly due to drought. Overall about 3,000 cases of presumed malaria had been treated with <it>A. annua </it>teas in the previous year, of which about 250 were in children and 54 were in women in the first trimester of pregnancy. The commonest problem observed in children was poor compliance due to the bitter taste, which was improved by the addition of sugar or honey. Two miscarriages were reported in pregnant patients. Only four respondents reported side-effects in other patients, the commonest of which was vomiting. 51% of respondents had started using <it>A. annua </it>tea to treat illnesses other than malaria.</p> <p>Conclusions</p> <p>Local cultivation and preparation of <it>A. annua </it>are feasible where growing conditions are appropriate. Few adverse events were reported even in children and pregnant women. Where ACT is in short supply, it would make sense to save it for young children, while using <it>A. annua </it>infusions to treat older patients who are at lower risk. An ongoing pharmacovigilance system is needed to facilitate reporting of any adverse events.</p
Struggles over access to the Muslim public sphere: Multiple publics and discourses on agency, belonging and citizenship (Introduction to the Themed Section)
Natural products as starting points for future anti-malarial therapies: going back to our roots?
Abstract Background The discovery and development of new anti-malarials are at a crossroads. Fixed dose artemisinin combination therapy is now being used to treat a hundred million children each year, with a cost as low as 30 cents per child, with cure rates of over 95%. However, as with all anti-infective strategies, this triumph brings with it the seeds of its own downfall, the emergence of resistance. It takes ten years to develop a new medicine. New classes of medicines to combat malaria, as a result of infection by Plasmodium falciparum and Plasmodium vivax are urgently needed. Results Natural product scaffolds have been the basis of the majority of current anti-malarial medicines. Molecules such as quinine, lapachol and artemisinin were originally isolated from herbal medicinal products. After improvement with medicinal chemistry and formulation technologies, and combination with other active ingredients, they now make up the current armamentarium of medicines. In recent years advances in screening technologies have allowed testing of millions of compounds from pharmaceutical diversity for anti-malarial activity in cellular assays. These initiatives have resulted in thousands of new sub-micromolar active compounds – starting points for new drug discovery programmes. Against this backdrop, the paucity of potent natural products identified has been disappointing. Now is a good time to reflect on the current approach to screening herbal medicinal products and suggest revisions. Nearly sixty years ago, the Chinese doctor Chen Guofu, suggested natural products should be approached by dao-xing-ni-shi or ‘acting in the reversed order’, starting with observational clinical studies. Natural products based on herbal remedies are in use in the community, and have the potential unique advantage that clinical observational data exist, or can be generated. The first step should be the confirmation and definition of the clinical activity of herbal medicinal products already used by the community. This first step forms a solid basis of observations, before moving to in vivo pharmacological characterization and ultimately identifying the active ingredient. A large part of the population uses herbal medicinal products despite limited numbers of well-controlled clinical studies. Increased awareness by the regulators and public health bodies of the need for safety information on herbal medicinal products also lends support to obtaining more clinical data on such products. Conclusions The relative paucity of new herbal medicinal product scaffolds active against malaria results discovered in recent years suggest it is time to re-evaluate the ‘smash and grab’ approach of randomly testing purified natural products and replace it with a patient-data led approach. This will require a change of perspective form many in the field. It will require an investment in standardisation in several areas, including: the ethnopharmacology and design and reporting of clinical observation studies, systems for characterizing anti-malarial activity of patient plasma samples ex vivo followed by chemical and pharmacological characterisation of extracts from promising sources. Such work falls outside of the core mandate of the product development partnerships, such as MMV, and so will require additional support. This call is timely, given the strong interest from researchers in disease endemic countries to support the research arm of a malaria eradication agenda. Para-national institutions such as the African Network for Drugs and Diagnostics Innovation (ANDi) will play a major role in facilitating the development of their natural products patrimony and possibly clinical best practice to bring forward new therapeutics. As in the past, with quinine, lapinone and artemisinin, once the activity of herbal medicinal products in humans is characterised, it can be used to identify new molecular scaffolds which will form the basis of the next generation of anti-malarial therapies.</p
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