Chronic pain assessments in children and adolescents : a systematic literature review of the selection, administration, interpretation, and reporting of unidimensional pain intensity scales

Background. Advances in pain assessment approaches now indicate which measures should be used to capture chronic pain experiences in children and adolescents. However, there is little guidance on how these tools should best be administered and reported, such as which time frames to use or how pain scores are categorised as mild, moderate, or severe. Objective. To synthesise current evidence on unidimensional, single-item pain intensity scale selection, administration, interpretation, and reporting. Methods. Databases were searched (inception: 18 January 2016) for studies in which unidimensional pain intensity assessments were used with children and adolescents with chronic pain. Ten quality criteria were developed by modifying existing recommendations to evaluate the quality of administration of pain scales most commonly used with children. Results. Forty-six studies met the inclusion criteria. The highest score achieved was 7 out of a possible 10 (median: 5; IQR: 4–6). Usage of scales varied markedly in administrator/completer, highest anchors, number of successive assessments, and time referent periods used. Conclusions. Findings suggest these scales are selected, administered, and interpreted inconsistently, even in studies of the same type. Furthermore, methods of administration are rarely reported or justified making it impossible to compare findings across studies. This article concludes by recommending criteria for the future reporting of paediatric chronic pain assessments in studies

Biologic effects of oil fly ash.

Epidemiologic studies have demonstrated increased human morbidity and mortality with elevations in the concentration of ambient air particulate matter (PM). Fugitive fly ash from the combustion of oil and residual fuel oil significantly contributes to the ambient air particle burden. Residual oil fly ash (ROFA) is remarkable in the capacity to provoke injury in experimental systems. The unique composition of this emission source particle makes it particularly useful as a surrogate for ambient air PM in studies of biologic effects testing the hypothesis that metals mediate the biologic effects of air pollution particles. A majority of the in vitro and animal model investigations support the postulate that transition metals present in ROFA (especially vanadium) participate in Fenton-like chemical reactions to produce reactive oxygen species. This is associated with tyrosine phosphorylation, nuclear factor kappa B and other transcription factor activation, induction of inflammatory mediator expression, and inflammatory lung injury. It is also evident that vanadium accounts for a significant portion of the biologic activity of ROFA. The extrapolation of this body of investigation on ROFA to the field of ambient air PM is difficult, as particles in numerous environments have such small amounts of vanadium

The GRAAL high resolution BGO calorimeter and its energy calibration and monitoring system

We describe the electromagnetic calorimeter built for the GRAAL apparatus at the ESRF. Its monitoring system is presented in detail. Results from tests and the performance obtained during the first GRAAL experiments are given. The energy calibration accuracy and stability reached is a small fraction of the intrinsic detector resolution.Comment: 19 pages, 14 figures, submitted to Nuclear Instruments and Method

Evidence for narrow resonant structures at W≈1.68W \approx 1.68 and W≈1.72W \approx 1.72 GeV in real Compton scattering off the proton

First measurement of the beam asymmetry $\Sigma$ for Compton scattering off the proton in the energy range $E_{\gamma}=0.85 - 1.25$ GeV is presented. The data reveals two narrow structures at $E_{\gamma}= 1.036$ and $E_{\gamma}=1.119$ GeV. They may signal narrow resonances with masses near $1.68$ and $1.72$ GeV, or they may be generated by the sub-threshold $K\Lambda$ and $\omega p$ production. Their decisive identification requires additional theoretical and experimental efforts.Comment: Published versio

Deuteron photo-disintegration with polarised photons in the energy range 30 - 50 MeV

The reaction d(\vec\gamma,np) has been studied using the tagged and polarised LADON gamma ray beam at an energy 30 - 50 MeV to investigate the existence of narrow dibaryonic resonances recently suggested from the experimental measurements in a different laboratory. The beam was obtained by Compton back-scattering of laser light on the electrons of the storage ring ADONE. Photo-neutron yields were measured at five neutron angle \vartheta_n = 22, 55.5, 90, 125 and 157 degrees in the center of mass system.Our results do not support the existence of such resonances.Comment: 16 pages, Latex, 22 figures, 1 table. Nucl. Phys. A to appea

Eta photoproduction off the neutron at GRAAL: Evidence for a resonant structure at W=1.67 GeV

New (preliminary) data on eta photoproduction off the neutron are presented. These data reveal a resonant structure at W=1.67 GeV.Comment: 8 pages, 4 figures. Published in Proceedings of Workshop on the Physics of Excited Nucleons NSTAR2004, Grenoble, France, March 24 - 27, pg.19

Shedding New Light on Kaon-Nucleon/Nuclei Interaction and Its Astrophysical Implications with the AMADEUS Experiment at DAFNE

The AMADEUS experiment deals with the investigation of the low-energy kaon-nuclei hadronic interaction at the DA{\Phi}NE collider at LNF-INFN, which is fundamental to respond longstanding questions in the non-perturbative QCD strangeness sector. The antikaon-nucleon potential is investigated searching for signals from possible bound kaonic clusters, which would open the possibility for the formation of cold dense baryonic matter. The confirmation of this scenario may imply a fundamental role of strangeness in astrophysics. AMADEUS step 0 consisted in the reanalysis of 2004/2005 KLOE dataset, exploiting K- absorptions in H, 4He, 9Be and 12C in the setup materials. In this paper, together with a review on the multi-nucleon K- absorption and the particle identification procedure, the first results on the {\Sigma}0-p channel will be presented including a statistical analysis on the possible accomodation of a deeply bound stateComment: 6 pages, 2 figure, 1 table, HADRON 2015 conferenc

Search for light-speed anisotropies using Compton scattering of high-energy electrons

Based on the high sensitivity of Compton scattering off ultra relativistic electrons, the possibility of anisotropies in the speed of light is investigated. The result discussed in this contribution is based on the gamma-ray beam of the ESRF's GRAAL facility (Grenoble, France) and the search for sidereal variations in the energy of the Compton-edge photons. The absence of oscillations yields the two-sided limit of 1.6 x 10^{-14} at 95 % confidence level on a combination of photon and electron coefficients of the minimal Standard Model Extension (mSME). This new constraint provides an improvement over previous bounds by one order of magnitude.Comment: Talk presented at the Fifth Meeting on CPT and Lorentz Symmetry, University of Indiana, June 28-July 2, 201

Unprecedented studies of the low-energy negatively charged kaons interactions in nuclear matter by AMADEUS

The AMADEUS experiment aims to provide unique quality data of $K^-$ hadronic interactions in light nuclear targets, in order to solve fundamental open questions in the non-perturbative strangeness QCD sector, like the controversial nature of the $\Lambda(1405)$ state, the yield of hyperon formation below threshold, the yield and shape of multi-nucleon $K^-$ absorption, processes which are intimately connected to the possible existence of exotic antikaon multi-nucleon clusters. AMADEUS takes advantage of the DA$\Phi$NE collider, which provides a unique source of monochromatic low-momentum kaons and exploits the KLOE detector as an active target, in order to obtain excellent acceptance and resolution data for $K^-$ nuclear capture on H, ${}^4$He, ${}^{9}$Be and ${}^{12}$C, both at-rest and in-flight. During the second half of 2012 a successful data taking was performed with a dedicated pure carbon target implemented in the central region of KLOE, providing a high statistic sample of pure at-rest $K^-$ nuclear interactions. For the future dedicated setups involving cryogenic gaseous targets are under preparation.Comment: 14 pages, 6 figure