725 research outputs found

    Which substitution pharmacotherapy is most effective in treating opioid dependence?

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    The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included.Design: Randomised controlled trial, double-blind. Setting: Outpatient clinic in Baltimore, United States. Participants: 220 people categorised as opioid dependent by DSM-IV;1 groups similar on demographics and drug use history. Exclusion criteria were medical and psychiatric illness requiring long-term medication, and pregnancy. Interventions: (i) Levo acetyl methadol (LAAM) at 75–115 mg, (ii) buprenorphine at 16–32 mg, (iii) methadone at 60–100 mg ("high dose"), or (iv) methadone at 20 mg ("low dose"). LAAM and buprenorphine were given three times a week, methadone daily. LAAM and methadone were given orally, buprenorphine sublingually. Participants attended the clinic daily for two weeks of dose induction, then thrice weekly with take-home doses. The scheduled duration of the trial was 17 weeks. Main outcome measures: Retention in treatment; illicit drug use; participants' global ratings of their drug problem. Main results: Days retained in the study (mean ± SE) — LAAM (i), 89 ± 6; buprenorphine (ii), 96 ± 4; "high dose" methadone (iii), 105 ± 4; "low dose" methadone (iv) 70 ± 4. Significantly more days retained for groups (i), (ii) and (iii) compared with group (iv) (P < 0.001), and group (iii) compared with group (i) (P = 0.02). Trial was completed by 53% of group (i), 58% of group (ii), 73% of group (iii), and 20% of group (iv), with 4, 3, 6 and 26 of groups (i), (ii), (iii) and (iv), respectively, transferred to rescue treatment (standard methadone maintenance). Twelve or more consecutive opioid-negative urine specimens were obtained in 36% of group (i), 26% of group (ii), 28% of group (iii) and 8% of group (iv) (P < 0.005). Conclusion: Compared with low-dose methadone, LAAM, buprenorphine and high-dose methadone substantially reduce the use of illicit opioids.Linda R. Gowing, Robert L. Ali and Jason M. Whit

    Hydrological niches in terrestrial plant communities: a review

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    1. Despite the fundamental significance of water to plants and the persisting question of how competing species coexist, this is the first review of hydrological niches. We define hydrological niche segregation (HNS) as: (i) partitioning of space on fine-scale soil-moisture gradients, (ii) partitioning of water as a resource, and/or (iii) partitioning of recruitment opportunities among years caused by species specializing on particular patterns of temporal variance of water supply (the storage effect). 2. We propose that there are three types of constraint that lead to the trade-offs that underlie HNS. (i) An edaphic constraint creates a trade-off between the supply to roots of O2 on the one hand vs. water and nutrients on the other. (ii) A biophysical constraint governs gas exchange by leaves, leading to a trade-off between CO2 acquisition vs. water loss. (iii) A structural constraint arising from the physics of water-conducting tissues leads to a safety vs. efficiency trade-off. 3. Significant HNS was found in 43 of 48 field studies across vegetation types ranging from arid to wet, though its role in coexistence remains to be proven in most cases. Temporal partitioning promotes coexistence through the storage effect in arid plant communities, but has yet to be shown elsewhere. In only a few cases is it possible to unequivocally link HNS to a particular trade-off. 4. Synthesis. The field and experimental evidence make it clear that HNS is widespread, though it is less clear what its precise mechanisms or consequences are. HNS mechanisms should be revealed by further study of the constraints and trade-offs that govern how plants obtain and use water and HNS can be mechanistically linked to its consequences with appropriate community models. In a changing climate, such an integrated programme would pay dividends for global change research

    Experimental investigation of the origin of fynbos plant community structure after fire

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    Background and aims Species in plant communities segregate along fine-scale hydrological gradients. Although this phenomenon is not unique to fynbos, this community regenerates after fire and therefore provides an opportunity to study the ecological genesis of hydrological niche segregation. Methods Following wildfires at two field sites where we had previously mapped the vegetation and monitored the hydrology, seeds were moved experimentally in >2500 intact soil cores up and down soil-moisture gradients to test the hypothesis that hydrological niche segregation is established during the seedling phase of the life cycle. Seedling numbers and growth were then monitored and they were identified using DNA bar-coding, the first use of this technology for an experiment of this kind. Key Results At the site where niche segregation among Restionaceae had previously been found, the size of seedlings was significantly greater, the wetter the location into which they were moved, regardless of the soil moisture status of their location of origin, or of the species. Seedling weight was also significantly greater in a competition treatment where the roots of other species were excluded. No such effects were detected at the control site where niche segregation among Restionaceae was previously found to be absent. Conclusions The finding that seedling growth on hydrological gradients in the field is affected by soil moisture status and by root competition shows that hydrological niche segregation could potentially originate in the seedling stage. The methodology, applied at a larger scale and followed-through for a longer period, could be used to determine whether species are differently affected by soil moistur

    Bioaccessibility performance data for fifty-seven elements in guidance material BGS 102

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    BGS 102, a guidance material for bioaccessible arsenic (As) and lead (Pb), was produced during validation of the in vitro Unified Bioaccessibility Method (UBM). This paper reports a compilation of reproducible bioaccessible guidance values for fifty-five additional elements in BGS 102, providing guidance for analysts to broaden the scope of UBM analyses for a wider range of elements based on data collected over an average of 60 separate analytical batches per element. Data are presented in categories for both gastric (STOM) and gastrointestinal (STOM + INT) extraction phases, where reproducibility, measured as relative standard deviation (RSD) was; ≤ 10% RSD for 27 elements (Mg, Al, Si, P, Ca, Cr, Mn, Co, Ni, As, Rb, Sr, Y, Ba, La, Ce, Pr, Nd, Sm, Eu, Tb, Gd, Dy, Ho, Er, Tm, Yb); between 10 and 20% RSD for 10 elements (Li, K, V, Fe, Cu, Zn, Cd, Lu, Pb, U); and ≥ 20% RSD for 19 elements in the gastric phase (Be, B, S, Ti, Ga, Se, Zr, Nb, Mo, Ag, Sn, Sb, Cs, Hf, Ta, W, Tl, Bi, Th). Two elements (Mg, Rb) met the ≤ 10% RSD criteria in the UBM gastrointestinal extraction phase due to the alkaline conditions of this phase precipitating out the majority of determinands. Certain elements, including Na, K, Zn and Se, were found to be a significant component of the extraction fluids with proportionally higher concentrations compared to the guidance material. Bioaccessible fractions (%BAF) were also calculated, but were found to be a less reproducible format for confirming the accuracy of measurements. The low concentration of some elements of interest in BGS 102, such as antimony (Sb), justifies the preparation of an alternative certified reference material (CRM). This paper presents an opportunity to broaden the scope of the UBM method to address food security issues (e.g. Fe and Zn micronutrient deficiencies) and contributions to dietary intake from extraneous dust or soil through evidence of the analytical possibilities and current limitations requiring further investigation

    Conserving socio-ecological landscapes: An analysis of traditional and responsive management practices for floodplain meadows in England

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    Contemporary practice in the conservation of socio-ecological landscapes draws on both a model of responsive management, and also on ideas about historic management. This study considered what evidence might exist for the exercise of these approaches to management in the conservation of floodplain meadows in England, in order to inform understanding and knowledge of conservation management and assessment practice. Evidence for a model of responsive management was limited, with managing stakeholders often alternating between this model and an alternative approach, called here the ‘traditional management approach’, based on ideas, narratives and prescriptions of long-established land management practices. Limited monitoring and assessment appeared to undermine the former model, whilst uncertainty over past long-standing management practices undermined the latter. As a result of the relative power of conservation actors over farmers delivering site management, and their framings of meadows as ‘natural’ spaces, management tended to oscillate between aspects of these two approaches in a sometimes inconsistent manner. Conservation managers should consider the past motivating drivers and management practices that created the landscapes they wish to conserve, and bear in mind that these are necessarily implicated in aspects of the contemporary landscape value that they wish to maintain. They should ensure that assessment activity captures a broad range of indicators of site value and condition, not only biological composition, and also record data on site management operations in order to ensure management effectiveness

    Optimum Magnetometer Transect Spacing to Locate Legacy Oil and Gas Wells: Preliminary Results

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    The purpose of this project was to examine the optimum transect spacing to locate legacy oil and gas wells using an Overhauser magnetometer. Widely known to be a potential environmental hazard, legacy oil and gas wells may act as a conduit for methane and/or deeper subsurface fluids (naturally occurring brines, injected waste fluids, or injected CO2) to the surface or shallow subsurface. Many plugged wells have all surface equipment removed leaving no visible trace at the surface and thus making the environmental assessment of these wells difficult. Using a magnetometer along a set of predefined transects, magnetic anomalies from the metal casing can be detected. In order to assess large numbers of wells, understanding the typical anomaly size is critical to maximize the transect spacing and therefore minimize magnetometer field work time. Here we briefly review the wide range of transect spacings reported in the literature and show the results of five wells with an initial survey grid at two meter spacing. Although there is significant variation in the anomaly size (X, Y, and Z), transect spacing of 20 m was sufficient to identify all buried wells using the method described herein. The anomalies associated with four of the wells ranged from approximately 1000-4000 nanoteslas (nT), while one well anomaly exhibited more than 10,000 nT above background
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