Establishing gold standard approaches to rapid tranquillisation: a review and discussion of the evidence on the safety and efficacy of medications currently used

Background: Rapid tranquillisation is used when control of agitation, aggression or excitement is required. Throughout the UK there is no consensus over the choice of drugs to be used as first line treatment. The NICE guideline on the management of violent behaviour involving psychiatric inpatients conducted a systematic examination of the literature relating to the effectiveness and safety of rapid tranquillisation (NICE, 2005). This paper presents the key findings from that review and key guideline recommendations generated, and discusses the implications for practice of more recent research and information. Aims: To examine the evidence on the efficacy and safety of medications used for rapid tranquillisation in inpatient psychiatric settings. Method: Systematic review of current guidelines and phase III randomised, controlled trials of medication used for rapid tranquillisation. Formal consensus methods were used to generate clinically relevant recommendations to support safe and effective prescribing of rapid tranquillisation in the development of a NICE guideline. Findings: There is a lack of high quality clinical trial evidence in the UK and therefore a ‘gold standard’ medication regime for rapid tranquillisation has not been established. Rapid tranquillisation and clinical practice: The NICE guideline produced 35 recommendations on rapid tranquillisation practice for the UK, with the primary aim of calming the service user to enable the use of psychosocial techniques. Conclusions and implications for clinical practice: Further UK specific research is urgently needed that provides the clinician with a hierarchy of options for the clinical practice of rapid tranquillisation

A compilation of digitized satellite imagery of the Gulf Stream (1982, 1983, and 1985)

Ninety plots of digitized temperature boundaries from infared satellite images of the Gulf Stream along with corresponding image snapshots were compiled to determine stream width propagation speed. The satellite images are from the years 1982, 1983, and 1985 and are often of consecutive days. In this report, these images and digitized plots are presented.Funding was provided by the Office of Naval Research through contract Number N00014-87-K-0007, and by the National Science Foundation under grant Numbers OCE 87-00601 and OCE 85-10828

Control via electron count of the competition between magnetism and superconductivity in cobalt and nickel doped NaFeAs

Using a combination of neutron, muon and synchrotron techniques we show how the magnetic state in NaFeAs can be tuned into superconductivity by replacing Fe by either Co or Ni. Electron count is the dominant factor, since Ni-doping has double the effect of Co-doping for the same doping level. We follow the structural, magnetic and superconducting properties as a function of doping to show how the superconducting state evolves, concluding that the addition of 0.1 electrons per Fe atom is sufficient to traverse the superconducting domain, and that magnetic order coexists with superconductivity at doping levels less than 0.025 electrons per Fe atom.Comment: 4 pages, 6 figure

Thalamo-cortical communication, glutamatergic neurotransmission and neural oscillations:a unique window into the origins of ScZ?

The thalamus has recently received renewed interest in systems-neuroscience and schizophrenia (ScZ) research because of emerging evidence highlighting its important role in coordinating functional interactions in cortical-subcortical circuits. Moreover, higher cognitive functions, such as working memory and attention, have been related to thalamo-cortical interactions, providing a novel perspective for the understanding of the neural substrate of cognition. The current review will support this perspective by summarizing evidence on the crucial role of neural oscillations in facilitating thalamo-cortical (TC) interactions during normal brain functioning and their potential impairment in ScZ. Specifically, we will focus on the relationship between NMDA-R mediated (glutamatergic) neurotransmission in TC-interactions. To this end, we will first review the functional anatomy and neurotransmitters in thalamic circuits, followed by a review of the oscillatory signatures and cognitive processes supported by TC-circuits. In the second part of the paper, data from preclinical research as well as human studies will be summarized that have implicated TC-interactions as a crucial target for NMDA-receptor hypofunctioning. Finally, we will compare these neural signatures with current evidence from ScZ-research, suggesting a potential overlap between alterations in TC-circuits as the result of NMDA-R deficits and stage-specific alterations in large-scale networks in ScZ

Megathrust Splay Faults at the Focus of the Prince William Sound Asperity, Alaska

[1] High-resolution sparker and crustal-scale air gun seismic reflection data, coupled with repeat bathymetric surveys, document a region of repeated coseismic uplift on the portion of the Alaska subduction zone that ruptured in 1964. This area defines the western limit of Prince William Sound. Differencing of vintage and modern bathymetric surveys shows that the region of greatest uplift related to the 1964 Great Alaska earthquake was focused along a series of subparallel faults beneath Prince William Sound and the adjacent Gulf of Alaska shelf. Bathymetric differencing indicates that 12 m of coseismic uplift occurred along two faults that reached the seafloor as submarine terraces on the Cape Cleare bank southwest of Montague Island. Sparker seismic reflection data provide cumulative Holocene slip estimates as high as 9 mm/yr along a series of splay thrust faults within both the inner wedge and transition zone of the accretionary prism. Crustal seismic data show that these megathrust splay faults root separately into the subduction zone décollement. Splay fault divergence from this megathrust correlates with changes in midcrustal seismic velocity and magnetic susceptibility values, best explained by duplexing of the subducted Yakutat terrane rocks above Pacific plate rocks along the trailing edge of the Yakutat terrane. Although each splay fault is capable of independent motion, we conclude that the identified splay faults rupture in a similar pattern during successive megathrust earthquakes and that the region of greatest seismic coupling has remained consistent throughout the Holocene

Comparing teacher roles in Denmark and England

This article reports the findings of a comparative study of teaching in Denmark and England; its broader aim is to help develop an approach for comparing pedagogy. Lesson observations and interviews identified the range of goals towards which teachers in each country worked and the actions these prompted. These were clustered using the lens of Bernstein’s pedagogic discourse (1990; 1996) to construct teacher roles which provided a view of pedagogy. Through this approach we have begun to identify variations in pedagogy across two countries. All teachers in this study adopted a variety of roles; of significance was the ease with which competent English teachers moved between roles. The English teachers observed adopted roles consistent with a wider techno-rationalist discourse. There was a greater subject emphasis by Danish teachers whose work was set predominantly within a democratic humanist discourse, whilst the English teachers placed a greater emphasis on applied skills

The Lantern Vol. 29, No. 1, December 1961

• King Fitzgerald\u27s Court • Deliberate Beyond Conception • Jean • The Dumb Superman • Epilogue to Death • Afternoon in August • Eichmann • A Nose Thumbed • Observation • The Forgetful Evening • Truditur Dies Die • The Deserted Pier • Thoughts on Love • Laughter • A Waste? • Villanelle: Interlude • Lines on a Rhetorical Question • Villanellehttps://digitalcommons.ursinus.edu/lantern/1081/thumbnail.jp

Controlling magnetic order and quantum disorder in molecule-based magnets

We investigate the structural and magnetic properties of two molecule-based magnets synthesized from the same starting components. Their different structural motifs promote contrasting exchange pathways and consequently lead to markedly different magnetic ground states. Through examination of their structural and magnetic properties we show that [Cu(pyz)(H2O)(gly)2](ClO4)2 may be considered a quasi-one-dimensional quantum Heisenberg antiferromagnet whereas the related compound [Cu(pyz)(gly)](ClO4), which is formed from dimers of antiferromagnetically interacting Cu2+ spins, remains disordered down to at least 0.03 K in zero field but shows a field-temperature phase diagram reminiscent of that seen in materials showing a Bose-Einstein condensation of magnons