25,867 research outputs found

    Tolerability, safety, and efficacy of adjunctive brivaracetam for focal seizures in older patients: A pooled analysis from three phase III studies

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    Introduction: This analysis was conducted to assess the tolerability, safety, and efficacy of brivaracetam (BRV) for adjunctive treatment of focal (partial-onset) seizures in patients aged ≥65 years. Methods: Safety/tolerability and efficacy data for patients aged ≥65 years were pooled from three randomized, double-blind, placebo-controlled, fixed-dose Phase III studies (NCT00490035, NCT00464269, and NCT01261325). Data were pooled by treatment group: placebo or the proposed therapeutic dose range of 50–200 mg/day: BRV 50, 100, 200 mg/day. Results: Thirty-two patients aged ≥65 years were randomized to placebo or BRV 50–200 mg/day. Of these, 30 patients (93.8%) completed their respective study. In the safety population (n = 32), 87.5% placebo- vs 73.3% BRV-treated patients reported treatment-emergent adverse events (TEAEs) during the treatment period; most commonly, headache (25.0% vs 12.5%), paresthesia (0% vs 12.5%), and somnolence (50.0% vs 12.5%) for placebo- vs BRV-treated patients, respectively. During the treatment period, drug-related TEAEs were reported by 62.5% of placebo- vs 53.3% of BRV-treated patients, and serious TEAEs (SAEs) were reported by 0% of placebo- and 4.2% of BRV-treated patients; there were no drug-related SAEs and no deaths. Three SAEs (placebo 1/8; BRV 2/24) and two deaths (placebo 1/8; BRV 1/24) occurred in the post-treatment period. In the efficacy population (n = 31), median percent reduction from baseline in focal seizure frequency/28 days was 14.0% for placebo vs 25.5%, 49.6%, and 74.9% for BRV 50, 100, and 200 mg/day, respectively. The ≥50% responder rate was 14.3% for placebo vs 25.0%, 50.0%, and 66.7% for BRV 50, 100, and 200 mg/day, respectively. Conclusions: Safety/tolerability and efficacy findings in this small subgroup of older patients treated with adjunctive BRV are consistent with those observed in the much larger overall pooled population. BRV may be a suitable adjunctive treatment for older patients with uncontrolled focal seizures. Further larger studies in this population are warranted

    Discovery Layers vs. the Traditional Catalog: e-Forum Summary

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    Marital status and the use of mitigation and hestitation among Minnesota workign women

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    Birch Lake Burial Mound Group

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    Five small prehistoric burial mounds located near Birch Lake on Prairie Island in Goodhue county of southeastern Minnesota were excavated in 1968. The secondary burial of adults in shallow pits and unaccompanied by mortuary offerings follows widespread prehistoric patterns in the upper Mississippi valley. The mortuary pottery vessel buried with the single primary burial suggests construction of the mounds during the period of initial Mississippian cultural intrusion, perhaps shortly after 1,000 A.D

    South Asian monsoon history over the past 60 kyr recorded by radiogenic isotopes and clay mineral assemblages in the Andaman Sea

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    The Late Quaternary variability of the South Asian (or Indian) monsoon has been linked with glacial‐interglacial and millennial scale climatic changes but past rainfall intensity in the river catchments draining into the Andaman Sea remains poorly constrained. Here we use radiogenic Sr, Nd, and Pb isotope compositions of the detrital clay‐size fraction and clay mineral assemblages obtained from sediment core NGHP Site 17 in the Andaman Sea to reconstruct the variability of the South Asian monsoon during the past 60 kyr. Over this time interval εNd values changed little, generally oscillating between −7.3 and −5.3 and the Pb isotope signatures are essentially invariable, which is in contrast to a record located further northeast in the Andaman Sea. This indicates that the source of the detrital clays did not change significantly during the last glacial and deglaciation suggesting the monsoon was spatially stable. The most likely source region is the Irrawaddy river catchment including the Indo‐Burman Ranges with a possible minor contribution from the Andaman Islands. High smectite/(illite + chlorite) ratios (up to 14), as well as low 87Sr/86Sr ratios (0.711) for the Holocene period indicate enhanced chemical weathering and a stronger South Asian monsoon compared to marine oxygen isotope stages 2 and 3. Short, smectite‐poor intervals exhibit markedly radiogenic Sr isotope compositions and document weakening of the South Asian monsoon, which may have been linked to short‐term northern Atlantic climate variability on millennial time scales

    Photoassociation spectroscopy of cold alkaline earth atoms near the intercombination line

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    The properties of photoassociation (PA) spectra near the intercombination line (the weak transition between 1S0^{1}S_{0} and 3P1^{3}P_{1} states) of group II atoms are theoretically investigated. As an example we have carried out a calculation for Calcium atoms colliding at ultra low temperatures of 1 mK, 1 μ\muK, and 1 nK. Unlike in most current photoassociation spectroscopy the Doppler effect can significantly affect the shape of the investigated lines. Spectra are obtained using Ca--Ca and Ca--Ca^* short-range {\it ab initio} potentials and long-range van der Waals and resonance dipole potentials. The similar van der Waals coefficients of ground 1S0+1S0^{1}S_{0} + ^{1}S_{0} and excited 1S0+3P1^{1}S_{0} + ^{3}P_{1} states cause the PA to differ greatly from those of strong, allowed transitions with resonant dipole interactions. The density of spectral lines is lower, the Condon points are at relatively short range, and the reflection approximation for the Franck-Condon factors is not applicable, and the spontaneous decay to bound ground-state molecules is efficient. Finally, the possibility of efficient production of cold molecules is discussed

    Vector bundles on the projective line and finite domination of chain complexes

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    Finitely dominated chain complexes over a Laurent polynomial ring in one indeterminate are characterised by vanishing of their Novikov homology. We present an algebro-geometric approach to this result, based on extension of chain complexes to sheaves on the projective line. We also discuss the K-theoretical obstruction to extension.Comment: v1: 11 page

    Teaching Social Justice Lawyering: Systematically Including Community Legal Education in Law School Clinics

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    There is a body of literature on clinical legal theory that urges a focus in clinics beyond the single client to an explicit teaching of social justice lawyering. This Article adds to this emerging body of work by discussing the valuable role community legal education plays as a vehicle for teaching skills and values essential to single client representation and social justice lawyering. The Article examines the theoretical underpinnings of clinical legal education, community organizing and community education and how they influenced the authors’ design and implementation of community legal education within their clinics. It then discusses two projects designed to help victims of domestic violence. The first project has been ongoing for several years in a clinic with a long history of incorporating community education into its work. The second project was undertaken for the first time by a clinic teaching community legal education after a long hiatus. Through the discussion of these two projects, the Article evaluates and explains the pedagogical and logistical successes and challenges of incorporating community education into clinical programs and assesses the justice outcomes of their community work, both to the communities served and to their students
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