Comparison of analgesic effects and patient tolerability of nabilone and dihydrocodeine for chronic neuropathic pain: randomised, crossover, double blind study

<b>Objective</b>: To compare the analgesic efficacy and side effects of the synthetic cannabinoid nabilone with those of the weak opioid dihydrocodeine for chronic neuropathic pain. <b>Design</b>: Randomised, double blind, crossover trial of 14 weeks’ duration comparing dihydrocodeine and nabilone. <b>Setting</b>: Outpatient units of three hospitals in the United Kingdom. <b>Participants</b>: 96 patients with chronic neuropathic pain, aged 23-84 years. <b>Main outcome measures</b>: The primary outcome was difference between nabilone and dihydrocodeine in pain, as measured by the mean visual analogue score computed over the last 2 weeks of each treatment period. Secondary outcomes were changes in mood, quality of life, sleep, and psychometric function. Side effects were measured by a questionnaire. <b>Intervention</b>: Patients received a maximum daily dose of 240 mg dihydrocodeine or 2 mg nabilone at the end of each escalating treatment period of 6 weeks. Treatment periods were separated by a 2 week washout period. <b>Results</b>: Mean baseline visual analogue score was 69.6 mm (range 29.4-95.2) on a 0-100 mm scale. 73 patients were included in the available case analysis and 64 patients in the per protocol analysis. The mean score was 6.0 mm longer for nabilone than for dihydrocodeine (95% confidence interval 1.4 to 10.5) in the available case analysis and 5.6 mm (10.3 to 0.8) in the per protocol analysis. Side effects were more frequent with nabilone. <b>Conclusion</b>: Dihydrocodeine provided better pain relief than the synthetic cannabinoid nabilone and had slightly fewer side effects, although no major adverse events occurred for either drug

Maize Production Impacts on Groundwater Quality

The cumulative effects of management practices on nitrate-nitrogen (NO3-N) leaching and ground water quality are frequently difficult to document because of the time required for expression and the diversity of interacting process involved. This work reports results of a N and water management program initiated by the Central Platte Natural Resource District (CPNRD) in Nebraska. Cultural pratices recommended by the (CPNRD) in Nebraska. Cultural practices recommended by the CPNRD and reported by producers for the 1988 growing season, representing approximately 3900 fields covering 84 210 ha of irrigated corn (Zea mays L.) indicated NO3-N contamination of groundwater was influenced by yield goals and fertilizer N application rates. Groundwater NO2-N concentrations were positively correlated with residual N in the surface 0.9 m of soil prior to the growing season, reflecting the effects of past N and water management practices. Yield goals in 1988 averaged 9% higher than the average 10.0 Mg ha-1 corn yield attained, which accounts for an average of about 20 kg N ha-1 in excess of the average N recommendation. By comparison, in a 1980 to 1984 study from an area within the CPNRD, yield goals in 1988 accounted for 42% of the average excess N application rate of 48 kg ha-1 (based on University of Nebraska recommendations). A large portion of average excess N application is attributed to producers in 14% of the area who applied \u3e100 kg N ha-1 more than the recommended rates. Fertilizer N applied showed little relationship to fertilizer N recommended. Better education and more stringent measures may be required to address the select group of producers who fail to follow CPNRD recommendations

Maize Production Impacts on Groundwater Quality

The cumulative effects of management pratices on nitrate-nitrogen (NO3-N) leaching and groundwater quality are frequently difficult to document because of the time required for expression and the diversity of interacting process involved. This work reports results of a N and water management program initiated by the Central Platte Natural Resource District (CPNRD) in Nebraska. Cultural pratices recommended by the CPNRD and reported by producers for the 1988 growing season, representing approximately 3900 fields and fertilizer N application rates. Groundwater NO3-N concentrations were positively correlated with ressidual N in the surface 0.9 m of soil prior to the growing season, reflecting the effects of past N and water management practices. Yield goals in 1988 averaged 9% higher than the average 10.0 Mg ha-1 in excess of the average N recommendation. By comparison, in a 1980 to 1984 study from an area within the CPNRD, yield goals averaged 28% greater than actual yields. Overly optimistic yield goals in 1988 accounted for 42% of the average excess N application rate 48 kg ha-1 (based on University of Nebraska recommendations). A large portion of average excess N application is attributed to producers in 14% of the area who applied \u3e 100 kg N ha-1 more than the recommened rates. Fertilizer N applied showed little relationship to fertilizer N recommended. Better education and more stringent measures may be required to address the select group of producers who fail to follow CPNRD recommendations

Numerical Portrait of a Relativistic BCS Gapped Superfluid

We present results of numerical simulations of the 3+1 dimensional Nambu - Jona-Lasinio (NJL) model with a non-zero baryon density enforced via the introduction of a chemical potential mu not equal to 0. The triviality of the model with a number of dimensions d>=4 is dealt with by fitting low energy constants, calculated analytically in the large number of colors (Hartree) limit, to phenomenological values. Non-perturbative measurements of local order parameters for superfluidity and their related susceptibilities show that, in contrast to the 2+1 dimensional model, the ground-state at high chemical potential and low temperature is that of a traditional BCS superfluid. This conclusion is supported by the direct observation of a gap in the dispersion relation for 0.5<=(mu a)<=0.85, which at (mu a)=0.8 is found to be roughly 15% the size of the vacuum fermion mass. We also present results of an initial investigation of the stability of the BCS phase against thermal fluctuations. Finally, we discuss the effect of splitting the Fermi surfaces of the pairing partners by the introduction of a non-zero isospin chemical potential.Comment: 41 pages, 19 figures, uses axodraw.sty, v2: minor typographical correction

A simple variational approach to the quantum Frenkel-Kontorova model

We present a simple and complete variational approach to the one-dimensional quantum Frenkel-Kontorova model. Dirac's time-dependent variational principle is adopted together with a Hatree-type many-body trial wavefunction for the atoms. The single-particle state is assumed to have the Jackiw-Kerman form. We obtain an effective classical Hamiltonian for the system which is simple enough for a complete numerical solution for the static ground state of the model. Numerical results show that our simple approach captures the essence of the quantum effects first observed in quantum Monte Carlo studies.Comment: 12 pages, 2 figure

Towards nonlinear quantum Fokker-Planck equations

It is demonstrated how the equilibrium semiclassical approach of Coffey et al. can be improved to describe more correctly the evolution. As a result a new semiclassical Klein-Kramers equation for the Wigner function is derived, which remains quantum for a free quantum Brownian particle as well. It is transformed to a semiclassical Smoluchowski equation, which leads to our semiclassical generalization of the classical Einstein law of Brownian motion derived before. A possibility is discussed how to extend these semiclassical equations to nonlinear quantum Fokker-Planck equations based on the Fisher information

A calculation of the QCD phase diagram at finite temperature, and baryon and isospin chemical potentials

We study the phases of a two-flavor Nambu-Jona-Lasinio model at finite temperature $T$, baryon and isospin chemical potentials: $\mu_{B}=(\mu_{u}+\mu_{d})/2$, $\mu_{I}=(\mu_{u}-\mu_{d})/2$. This study completes a previous analysis where only small isospin chemical potentials $\mu_{I}$ were consideredComment: 21 pages, 13 figures included, two more refernces adde

Modeling magnetospheric fields in the Jupiter system

The various processes which generate magnetic fields within the Jupiter system are exemplary for a large class of similar processes occurring at other planets in the solar system, but also around extrasolar planets. Jupiter's large internal dynamo magnetic field generates a gigantic magnetosphere, which is strongly rotational driven and possesses large plasma sources located deeply within the magnetosphere. The combination of the latter two effects is the primary reason for Jupiter's main auroral ovals. Jupiter's moon Ganymede is the only known moon with an intrinsic dynamo magnetic field, which generates a mini-magnetosphere located within Jupiter's larger magnetosphere including two auroral ovals. Ganymede's magnetosphere is qualitatively different compared to the one from Jupiter. It possesses no bow shock but develops Alfv\'en wings similar to most of the extrasolar planets which orbit their host stars within 0.1 AU. New numerical models of Jupiter's and Ganymede's magnetospheres presented here provide quantitative insight into the processes that maintain these magnetospheres. Jupiter's magnetospheric field is approximately time-periodic at the locations of Jupiter's moons and induces secondary magnetic fields in electrically conductive layers such as subsurface oceans. In the case of Ganymede, these secondary magnetic fields influence the oscillation of the location of its auroral ovals. Based on dedicated Hubble Space Telescope observations, an analysis of the amplitudes of the auroral oscillations provides evidence that Ganymede harbors a subsurface ocean. Callisto in contrast does not possess a mini-magnetosphere, but still shows a perturbed magnetic field environment. Callisto's ionosphere and atmospheric UV emission is different compared to the other Galilean satellites as it is primarily been generated by solar photons compared to magnetospheric electrons.Comment: Chapter for Book: Planetary Magnetis

Orochi: Investigating Requirements and Expectations for Multipurpose Daily Used Supernumerary Robotic Limbs

Supernumerary robotic limbs (SRLs) present many opportunities for daily use. However, their obtrusiveness and limitations in interaction genericity hinder their daily use. To address challenges of daily use, we extracted three design considerations from previous literature and embodied them in a wearable we call Orochi. The considerations include the following: 1) multipurpose use, 2) wearability by context, and 3) unobtrusiveness in public. We implemented Orochi as a snake-shaped robot with 25 DoFs and two end effectors, and demonstrated several novel interactions enabled by its limber design. Using Orochi, we conducted hands-on focus groups to explore how multipurpose SRLs are used daily and we conducted a survey to explore how they are perceived when used in public. Participants approved Orochi's design and proposed different use cases and postures in which it could be worn. Orochi's unobtrusive design was generally well received, yet novel interactions raise several challenges for social acceptance. We discuss the significance of our results by highlighting future research opportunities based on the design, implementation, and evaluation of Orochi