A systematic review of adverse events arising from the use of synthetic cannabinoids and their associated treatment

Context: Synthetic cannabinoids (SCs) such as “Spice”, “K2”, etc. are widely available via the internet despite increasing legal restrictions. Currently, the prevalence of use is typically low in the general community (<1%) although it is higher among students and some niche groups subject to drug testing. Early evidence suggests that adverse outcomes associated with the use of SCs may be more prevalent and severe than those arising from cannabis consumption. Objectives: To identify systematically the scientific reports of adverse events associated with the consumption of SCs in the medical literature and poison centre data. Method: We searched online databases (Medline, PsycInfo, Embase, Google Scholar and Pubmed) and manually searched reference lists up to December 2014. To be eligible for inclusion, data had to be from hospital, emergency department, drug rehabilitation services or poison centre records of adverse events involving SCs and included both self-reported and/or analytically confirmed consumption. Results: From 256 reports, we identified 106 eligible studies including 37 conference abstracts on about 4000 cases involving at least 26 deaths. Major complications include cardiovascular events (myocardial infarction, ischemic stroke and emboli), acute kidney injury (AKI), generalized tonic-clonic seizures, psychiatric presentations (including first episode psychosis, paranoia, self-harm/suicide ideation) and hyperemesis. However, most presentations were not serious, typically involved young males with tachycardia (≈37–77%), agitation (≈16–41%) and nausea (≈13–94%) requiring only symptomatic care with a length of stay of less than 8 hours. Conclusions: SCs most frequently result in tachycardia, agitation and nausea. These symptoms typically resolve with symptomatic care, including intravenous fluids, benzodiazepines and anti-emetics, and may not require inpatient care. Severe adverse events (stroke, seizure, myocardial infarction, rhabdomyolysis, AKI, psychosis and hyperemesis) and associated deaths manifest less commonly. Precise estimates of their incidence are difficult to calculate due to the lack of widely available, rapid laboratory confirmation, the variety of SC compounds and the unknown number of exposed individuals. Long-term consequences of SCs use are currently unknown

JHK Magnitudes for L and T Dwarfs and Infrared Photometric Systems

L and T dwarfs emit most of their radiation in the near infrared and their spectral energy distributions are dominated by strong molecular absorption bands. These highly structured energy distributions lead to JHK magnitudes that are extremely sensitive to the exact filter bandpass used. In the case of the T dwarfs, the differences between commonly used photometric systems can be as large as 0.4 mag at J and 0.5 mag at J-K. To address this problem, we have synthesized J,H and K magnitudes for some of the common photometric systems and present transformation equations. If the spectral type of the dwarf is known, our transformations allow data to be converted between systems to 0.01 mag, which is better than the typical measurement uncertainty. Transforming on the basis of color alone is more difficult because of the degeneracy and intrinsic scatter in near-infrared colors of L and T dwarfs; in this case J magnitudes can only be transformed to < 0.05 mag and H and K to < 0.02 mag.Comment: 26 pages including 9 figures, uses aastex, to be published in PASP Jan 200

Evidence of two viscous relaxation processes in the collective dynamics of liquid lithium

New inelastic X-ray scattering experiments have been performed on liquid lithium in a wide wavevector range. With respect to the previous measurements, the instrumental resolution, improved up to 1.5 meV, allows to accurately investigate the dynamical processes determining the observed shape of the the dynamic structure factor, $S(Q,\omega)$. A detailed analysis of the lineshapes shows the co-existence of relaxation processes with both a slow and a fast characteristic timescales, and therefore that pictures of the relaxation mechanisms based on a simple viscoelastic model must be abandoned.Comment: 5 pages, 4 .PS figure

High-Temperature series for the RPn−1RP^{n-1} lattice spin model (generalized Maier-Saupe model of nematic liquid crystals) in two space dimensions and with general spin dimensionality n

High temperature series expansions of the spin-spin correlation functions of the RP^{n-1} spin model on the square lattice are computed through order beta^{8} for general spin dimensionality n. Tables are reported for the expansion coefficients of the energy per site, the susceptibility and the second correlation moment.Comment: 6 pages, revtex, IFUM 419/FT, 2 figures not include

Hydrophobic and ionic-interactions in bulk and confined water with implications for collapse and folding of proteins

Water and water-mediated interactions determine thermodynamic and kinetics of protein folding, protein aggregation and self-assembly in confined spaces. To obtain insights into the role of water in the context of folding problems, we describe computer simulations of a few related model systems. The dynamics of collapse of eicosane shows that upon expulsion of water the linear hydrocarbon chain adopts an ordered helical hairpin structure with 1.5 turns. The structure of dimer of eicosane molecules has two well ordered helical hairpins that are stacked perpendicular to each other. As a prelude to studying folding in confined spaces we used simulations to understand changes in hydrophobic and ionic interactions in nano droplets. Solvation of hydrophobic and charged species change drastically in nano water droplets. Hydrophobic species are localized at the boundary. The tendency of ions to be at the boundary where water density is low increases as the charge density decreases. Interaction between hydrophobic, polar, and charged residue are also profoundly altered in confined spaces. Using the results of computer simulations and accounting for loss of chain entropy upon confinement we argue and then demonstrate, using simulations in explicit water, that ordered states of generic amphiphilic peptide sequences should be stabilized in cylindrical nanopores

The Magnetic Distortion Calibration System of the LHCb RICH1 Detector

The LHCb RICH1 detector uses hybrid photon detectors (HPDs) as its optical sensors. A calibration system has been constructed to provide corrections for distortions that are primarily due to external magnetic fields. We describe here the system design, construction, operation and performance.Comment: 9 pages, 14 figure

Studies of the decays D^0 \rightarrow K_S^0K^-\pi^+ and D^0 \rightarrow K_S^0K^+\pi^-

The first measurements of the coherence factor R_{K_S^0K\pi} and the average strong--phase difference \delta^{K_S^0K\pi} in D^0 \to K_S^0 K^\mp\pi^\pm decays are reported. These parameters can be used to improve the determination of the unitary triangle angle \gamma\ in B^- \rightarrow $\widetilde{D}K^-$ decays, where $\widetilde{D}$ is either a D^0 or a D^0-bar meson decaying to the same final state, and also in studies of charm mixing. The measurements of the coherence factor and strong-phase difference are made using quantum-correlated, fully-reconstructed D^0D^0-bar pairs produced in e^+e^- collisions at the \psi(3770) resonance. The measured values are R_{K_S^0K\pi} = 0.70 \pm 0.08 and \delta^{K_S^0K\pi} = (0.1 \pm 15.7)$^\circ$ for an unrestricted kinematic region and R_{K*K} = 0.94 \pm 0.12 and \delta^{K*K} = (-16.6 \pm 18.4)$^\circ$ for a region where the combined K_S^0 \pi^\pm invariant mass is within 100 MeV/c^2 of the K^{*}(892)^\pm mass. These results indicate a significant level of coherence in the decay. In addition, isobar models are presented for the two decays, which show the dominance of the K^*(892)^\pm resonance. The branching ratio {B}(D^0 \rightarrow K_S^0K^+\pi^-)/{B}(D^0 \rightarrow K_S^0K^-\pi^+) is determined to be 0.592 \pm 0.044 (stat.) \pm 0.018 (syst.), which is more precise than previous measurements.Comment: 38 pages. Version 3 updated to include the erratum information. Errors corrected in Eqs (25), (26), 28). Fit results updated accordingly, and external inputs updated to latest best known values. Typo corrected in Eq(3)- no other consequence

Quaternion-Octonion Unitary Symmetries and Analogous Casimir Operators

An attempt has been made to investigate the global SU(2) and SU(3) unitary flavor symmetries systematically in terms of quaternion and octonion respectively. It is shown that these symmetries are suitably handled with quaternions and octonions in order to obtain their generators, commutation rules and symmetry properties. Accordingly, Casimir operators for SU(2)and SU(3) flavor symmetries are also constructed for the proper testing of these symmetries in terms of quaternions and octonions

Clinoform architecture and along-strike variability through an exhumed erosional to accretionary basin margin transition

Exhumed basin margin‐scale clinothems provide important archives for understanding process interactions and reconstructing the physiography of sedimentary basins. However, studies of coeval shelf through slope to basin‐floor deposits are rarely documented, mainly due to outcrop or subsurface dataset limitations. Unit G from the Laingsburg depocentre (Karoo Basin, South Africa) is a rare example of a complete basin margin scale clinothem (>60 km long, 200 m‐high), with >10 km of depositional strike control, which allows a quasi‐3D study of a preserved shelf‐slope‐basin floor transition over a ca. 1200 km2 area. Sand‐prone, wave‐influenced topset deposits close to the shelf‐edge rollover zone can be physically mapped down dip for ca. 10 km as they thicken and transition into heterolithic foreset/slope deposits. These deposits progressively fine and thin over 10s of km farther down dip into sand‐starved bottomset/basin floor deposits. Only a few km along strike, the coeval foreset/slope deposits are bypass‐dominated with incisional features interpreted as minor slope conduits/gullies. The margin here is steeper, more channelized, and records a stepped profile with evidence of sand‐filled intraslope topography, a preserved base‐of‐slope transition zone and sand‐rich bottomset/basin‐floor deposits. Unit G is interpreted as part of a composite depositional sequence that records a change in basin margin style from an underlying incised slope with large sand‐rich basin‐floor fans to an overlying accretion‐dominated shelf with limited sand supply to slope and basin‐floor. The change in margin style is accompanied with decreased clinoform height/slope and increased shelf width. This is interpreted to reflect a transition in subsidence style from regional sag, driven by dynamic topography/inherited basement configuration, to early foreland basin flexural loading. Results of this study caution against reconstructing basin margin successions from partial datasets without accounting for temporal and spatial physiographic changes, with potential implications on predictive basin evolution models