Oxycodone for Cancer Pain in Adult Patients

Clinical Question: Is oxycodone associated with greater efficacy and fewer adverse events compared with alternative analgesics for cancer pain? Bottom Line: Oxycodone was not associated with superior cancer pain relief or fewer adverse effects compared with other strong opioids, such as morphine or oxymorphone. However, the quality of the evidence was low. Many patients with cancer experience moderate or severe pain requiring treatment with strong opioids. However, not all opioids are well tolerated by all patients. This JAMA Clinical Evidence Synopsis summarizes a published Cochrane review1 that examined the association of oxycodone (any formulation or route of administration) compared with placebo or an active drug (including alternative forms of oxycodone) for treating cancer pain in adults

Bulk phase behaviour of binary hard platelet mixtures from density functional theory

We investigate isotropic-isotropic, isotropic-nematic and nematic-nematic phase coexistence in binary mixtures of circular platelets with vanishing thickness, continuous rotational degrees of freedom and radial size ratios $\lambda$ up to 5. A fundamental measure density functional theory, previously used for the one-component model, is proposed and results are compared against those from Onsager theory as a benchmark. For $\lambda \leq 1.7$ the system displays isotropic-nematic phase coexistence with a widening of the biphasic region for increasing values of $\lambda$. For size ratios $\lambda \geq 2$, we find demixing into two nematic states becomes stable and an isotropic-nematic-nematic triple point can occur. Fundamental measure theory gives a smaller isotropic-nematic biphasic region than Onsager theory and locates the transition at lower densities. Furthermore, nematic-nematic demixing occurs over a larger range of compositions at a given value of $\lambda$ than found in Onsager theory. Both theories predict the same topologies of the phase diagrams. The partial nematic order parameters vary strongly with composition and indicate that the larger particles are more strongly ordered than the smaller particles

Suspected cancer (part 2—adults): visual overview of updated NICE guidance

This is the final version of the article. Available from the publisher via the DOI in this record.See part 1 – children and young adults www.bmj.com/ content/350/bmj.h3036This is one of a series of BMJ summaries of new guidelines based on the best available evidence; they highlight important recommendations for clinical practice, especially where uncertainty or controversy exists

Suspected cancer (part 1 - Children and young adults): Visual overview of updated NICE guidance

This is the final version of the article. Available from BMJ Publishing Group via the DOI in this record

Assembly bias and the dynamical structure of dark matter halos

Based on the Millennium Simulation we examine assembly bias for the halo properties: shape, triaxiality, concentration, spin, shape of the velocity ellipsoid and velocity anisotropy. For consistency we determine all these properties using the same set of particles, namely all gravitationally self-bound particles belonging to the most massive sub-structure of a given friends-of-friends halo. We confirm that near-spherical and high-spin halos show enhanced clustering. The opposite is true for strongly aspherical and low-spin halos. Further, below the typical collapse mass, M*, more concentrated halos show stronger clustering whereas less concentrated halos are less clustered which is reversed for masses above M*. Going beyond earlier work we show that: (1) oblate halos are more strongly clustered than prolate ones; (2) the dependence of clustering on the shape of the velocity ellipsoid coincides with that of the real-space shape, although the signal is stronger; (3) halos with weak velocity anisotropy are more clustered, whereas radially anisotropic halos are more weakly clustered; (4) for all highly clustered subsets we find systematically less radially biased velocity anisotropy profiles. These findings indicate that the velocity structure of halos is tightly correlated with environment.Comment: 5 pages, 2 figures, accepted for publication in Ap

An ion trap built with photonic crystal fibre technology

We demonstrate a surface-electrode ion trap fabricated using techniques transferred from the manufacture of photonic-crystal fibres. This provides a relatively straightforward route for realizing traps with an electrode structure on the 100 micron scale with high optical access. We demonstrate the basic functionality of the trap by cooling a single ion to the quantum ground state, allowing us to measure a heating rate from the ground state of 787(24) quanta/s. Variation of the fabrication procedure used here may provide access to traps in this geometry with trap scales between 100 um and 10 um.Comment: 6 pages, 4 figure

Colloid-Induced Polymer Compression

We consider a model mixture of hard colloidal spheres and non-adsorbing polymer chains in a theta solvent. The polymer component is modelled as a polydisperse mixture of effective spheres, mutually noninteracting but excluded from the colloids, with radii that are free to adjust to allow for colloid-induced compression. We investigate the bulk fluid demixing behaviour of this model system using a geometry-based density-functional theory that includes the polymer size polydispersity and configurational free energy, obtained from the exact radius-of-gyration distribution for an ideal (random-walk) chain. Free energies are computed by minimizing the free energy functional with respect to the polymer size distribution. With increasing colloid concentration and polymer-to-colloid size ratio, colloidal confinement is found to increasingly compress the polymers. Correspondingly, the demixing fluid binodal shifts, compared to the incompressible-polymer binodal, to higher polymer densities on the colloid-rich branch, stabilizing the mixed phase.Comment: 14 pages, 4 figure

Zero-field thermopower of a thin heterostructure membrane with a 2D electron gas

We study the low-temperature thermopower of micron sized, free-standing membranes containing a two-dimensional electron system. Suspended membranes of 320 nm thickness including a high electron mobility structure in Hall bar geometry of 34 {\mu}m length are prepared from GaAs/AlGaAs heterostructures grown by molecular beam epitaxy. Joule heating on the central region of the membrane generates a thermal gradient with respect to the suspension points where the membrane is attached to cold reservoirs. Temperature measurements on the membrane reveal strong thermal gradients due to the low thermal conductivity. We measure the zero-field thermopower and find that the phonon-drag contribution is suppressed at low temperatures up to 7 K.Comment: 5 page