Frequency of cannabis and illicit opioid use among people who use drugs and report chronic pain: A longitudinal analysis.

BACKGROUND:Ecological research suggests that increased access to cannabis may facilitate reductions in opioid use and harms, and medical cannabis patients describe the substitution of opioids with cannabis for pain management. However, there is a lack of research using individual-level data to explore this question. We aimed to investigate the longitudinal association between frequency of cannabis use and illicit opioid use among people who use drugs (PWUD) experiencing chronic pain. METHODS AND FINDINGS:This study included data from people in 2 prospective cohorts of PWUD in Vancouver, Canada, who reported major or persistent pain from June 1, 2014, to December 1, 2017 (n = 1,152). We used descriptive statistics to examine reasons for cannabis use and a multivariable generalized linear mixed-effects model to estimate the relationship between daily (once or more per day) cannabis use and daily illicit opioid use. There were 424 (36.8%) women in the study, and the median age at baseline was 49.3 years (IQR 42.3-54.9). In total, 455 (40%) reported daily illicit opioid use, and 410 (36%) reported daily cannabis use during at least one 6-month follow-up period. The most commonly reported therapeutic reasons for cannabis use were pain (36%), sleep (35%), stress (31%), and nausea (30%). After adjusting for demographic characteristics, substance use, and health-related factors, daily cannabis use was associated with significantly lower odds of daily illicit opioid use (adjusted odds ratio 0.50, 95% CI 0.34-0.74, p < 0.001). Limitations of the study included self-reported measures of substance use and chronic pain, and a lack of data for cannabis preparations, dosages, and modes of administration. CONCLUSIONS:We observed an independent negative association between frequent cannabis use and frequent illicit opioid use among PWUD with chronic pain. These findings provide longitudinal observational evidence that cannabis may serve as an adjunct to or substitute for illicit opioid use among PWUD with chronic pain

Can Trained Runners Effectively Attenuate Impact Acceleration During Repeated High-Intensity Running Bouts?

The purpose of this study was to investigate the effects of prolonged high intensity running on impact accelerations in trained runners. Thirteen male distance runners completed two 20-minute treadmill runs at speeds corresponding to 95% of onset of blood lactate accumulation. Leg and head accelerations were collected for 20 s every 4th minute. Rating of perceived exertion (RPE) scores were recorded during the 3rd and last minute of each run. RPE responses increased (p < .001) from the start (11.8 ± 0.9, moderate intensity) of the first run to the end (17.7 ±1.5; very hard) of the second run. Runners maintained their leg impact acceleration, impact attenuation, stride length and stride frequency characteristics with prolonged run duration. However, a small (0.11-0.14g) but significant increase (p < .001) in head impact accelerations were observed at the end of both first and second runs. It was concluded that trained runners are able to control leg impact accelerations during sustained high-intensity running. Alongside the substantial increases in perceived exertion levels, running mechanics and frequency domain impact attenuation levels remained constant. This suggests that the present trained runners are able to cope from a mechanical perspective despite an increased physiological demand

TRIM63 (MuRF-1) Gene Polymorphism is Associated with Biomarkers of Exercise-Induced Muscle Damage

Unaccustomed strenuous exercise can lead to muscle strength loss, inflammation and delayed onset muscle soreness, which may be influenced by genetic variation. We investigated if a missense single nucleotide polymorphism (A>G, rs2275950) within the TRIM63 gene (encoding MuRF-1 and potentially affecting titin mechanical properties) was associated with the variable response to unaccustomed eccentric exercise. Sixty-five untrained, healthy participants (genotyped for rs2275950: AA, AG and GG) performed 120 maximal eccentric knee extensions (ECC) to induce muscle damage. Isometric and isokinetic maximal voluntary knee extension contractions (MVCs) and muscle soreness were assessed before, immediately after, and 48h after ECC. AA homozygotes were consistently stronger [baseline isometric MVC: 3.23±0.92 Nm/kg (AA) vs. 2.09±0.67 Nm/kg (GG); p=0.006] and demonstrated less muscle soreness over time (p=0.022) compared to GG homozygotes. This may be explained by greater titin stiffness in AA homozygotes, leading to intrinsically stronger muscle fibers that are more resistant to eccentric damaging contractions

Vertical Breast Displacement in Asian Women During Exercise: influence of Bra Type, Size and Different Parts of the Breast

Asian women have smaller breast sizes and greater breast density, which suggests specific research on their breast kinematics and biomechanics. To investigate vertical breast displacement of Asian women among exercise modalities (rope skipping, walking, jogging, running) in different support conditions (wearing everyday bra or sports bra), and assess the motion between different parts of the breast, seven participants were selected to participate in this study. Five infrared markers were placed on each of their left breasts, and a three-dimensional motion capture system (NDI Optotrak Investigator) was used to collect the data on vertical breast displacement during walking (5 km/h), jogging (7.5 km/h), running (10 km/h) and rope skipping (2 Hz). No significant difference was found in the vertical displacement of different parts of the breast in the two bra conditions. Also, there was significant difference in vertical breast displacement among rope skipping, jogging and running. Breast size did not significantly affect its vertical displacement. The smaller, denser breast appears to reach a threshold of vertical displacement that is similar at high severities of dynamic exercises (jogging, running and rope skipping). The results might be useful for designing special sports bras for Asian women with small breasts or rope skipping participants to improve the shock absorption function

Does space-time torsion determine the minimum mass of gravitating particles?

We derive upper and lower limits for the mass–radius ratio of spin-fluid spheres in Einstein–Cartan theory, with matter satisfying a linear barotropic equation of state, and in the presence of a cosmological constant. Adopting a spherically symmetric interior geometry, we obtain the generalized continuity and Tolman–Oppenheimer–Volkoff equations for a Weyssenhoff spin fluid in hydrostatic equilibrium, expressed in terms of the effective mass, density and pressure, all of which contain additional contributions from the spin. The generalized Buchdahl inequality, which remains valid at any point in the interior, is obtained, and general theoretical limits for the maximum and minimum mass–radius ratios are derived. As an application of our results we obtain gravitational red shift bounds for compact spin-fluid objects, which may (in principle) be used for observational tests of Einstein–Cartan theory in an astrophysical context. We also briefly consider applications of the torsion-induced minimum mass to the spin-generalized strong gravity model for baryons/mesons, and show that the existence of quantum spin imposes a lower bound for spinning particles, which almost exactly reproduces the electron mass

Experimental Studies and Effective Finite Element Modelling of Foot Deformation in Standing

In this work, a full scale subject specific FE foot model is developed to simulate the deformation of human foot under a standing position similar to a Navicular Drop Test. The model used a full bone structure and effective embedded structure method to increase the modelling efficiency. Navicular drop tests have been performed and the displacement of the navicular bone is measured using 3D image analysing system. The experimental results show a good agreement with the numerical models and published data. The model is verified by comparing the numerical data for simple standing against subject specific navicular drop test. The detailed deformation of the navicular bone and factors affecting the navicular bone displacement and measurement are discussed

Whole leg compression garments influence lower limb kinematics and associated muscle synergies during running

The utilization of compression garments (CGs) has demonstrated the potential to improve athletic performance; however, the specific mechanisms underlying this enhancement remain a subject of further investigation. This study aimed to examine the impact of CGs on running mechanics and muscle synergies from a neuromuscular control perspective. Twelve adult males ran on a treadmill at 12 km/h, while data pertaining to lower limb kinematics, kinetics, and electromyography were collected under two clothing conditions: whole leg compression garments and control. The Non-negative matrix factorization algorithm was employed to extract muscle synergy during running, subsequently followed by cluster analysis and correlation analysis. The findings revealed that the CGs increased knee extension and reduced hip flexion at foot strike compared with the control condition. Moreover, CGs were found to enhance stance-phase peak knee extension, while diminishing hip flexion and maximal hip extension during the stance-phase, and the ankle kinematics remained unaltered. We extracted and classified six synergies (SYN1-6) during running and found that only five SYNs were observed after wearing CGs. CGs altered the structure of the synergies and changed muscle activation weights and durations. The current study is the first to apply muscle synergy to discuss the effect of CGs on running biomechanics. Our findings provide neuromuscular evidence for the idea of previous studies that CGs alter the coordination of muscle groups, thereby affecting kinematic characteristics during running

Cocaine-Dependent Adults and Recreational Cocaine Users Are More Likely Than Controls to Choose Immediate Unsafe Sex Over Delayed Safer Sex

Cocaine users have a higher incidence of risky sexual behavior and HIV infection than non-users. Our aim was to measure whether safer-sex discount rates, a measure of the likelihood of having immediate unprotected sex versus waiting to have safer sex, differed between controls and cocaine users of varying severity. Of the 162 individuals included in the primary data analyses, 69 met DSM-IV-TR criteria for cocaine dependence, 29 were recreational cocaine users who did not meet dependence, and 64 were controls. Participants completed the sexual delay discounting task, which measures one’s likelihood of using a condom when immediately available and how that likelihood decreases as a function of delay to condom availability with regard to four images chosen by the participants of hypothetical sexual partners differing in perceived desirability and likelihood of having a sexually-transmitted infection. When a condom was immediately available, stated likelihood of condom use sometimes differed between cocaine users and controls, which depended on the image condition. Even after controlling for rates of condom use when immediately available, the Cocaine Dependent and Recreational Users groups were more sensitive to delay to condom availability than controls. Safer-sex discount rates were also related to intelligence scores. The sexual discounting task identifies delay as a key variable that impacts the likelihood of using a condom among these groups and suggests that HIV-prevention efforts may be differentially effective based on an individual’s safer-sex discount rate

Disfluency in dialogue:an intentional signal from the speaker?

Disfluency is a characteristic feature of spontaneous human speech, commonly seen as a consequence of problems with production. However, the question remains open as to why speakers are disfluent: Is it a mechanical by-product of planning difficulty, or do speakers use disfluency in dialogue to manage listeners' expectations? To address this question, we present two experiments investigating the production of disfluency in monologue and dialogue situations. Dialogue affected the linguistic choices made by participants, who aligned on referring expressions by choosing less frequent names for ambiguous images where those names had previously been mentioned. However, participants were no more disfluent in dialogue than in monologue situations, and the distribution of types of disfluency used remained constant. Our evidence rules out at least a straightforward interpretation of the view that disfluencies are an intentional signal in dialogue. © 2012 Psychonomic Society, Inc

Galaxy Harassment and the Evolution of Clusters of Galaxies

Disturbed spiral galaxies with high rates of star formation pervaded clusters of galaxies just a few billion years ago, but nearby clusters exclude spirals in favor of ellipticals. ``Galaxy harassment" (frequent high speed galaxy encounters) drives the morphological transformation of galaxies in clusters, provides fuel for quasars in subluminous hosts and leaves detectable debris arcs. Simulated images of harassed galaxies are strikingly similar to the distorted spirals in clusters at $z \sim 0.4$ observed by the Hubble Space Telescope.Comment: Submitted to Nature. Latex file, 7 pages, 10 photographs in gif and jpeg format included. 10 compressed postscript figures and text available using anonymous ftp from ftp://ftp-hpcc.astro.washington.edu/pub/hpcc/moore/ (mget *) Also available at http://www-hpcc.astro.washington.edu/papers