Use of the painDETECT tool in rheumatoid arthritis suggests neuropathic and sensitization components in pain reporting.

Rheumatoid arthritis (RA) is an inflammatory autoimmune condition typified by systemic inflammation targeted toward synovial joints. Inhibition of proinflammatory networks by disease-modifying antirheumatic drugs, eg, methotrexate and biologic therapies, including tumor necrosis factor-α inhibitors, often leads to suppression of disease activity observed at the clinical level. However, despite the era of widespread use of disease-modifying treatments, there remain significant groups of patients who continue to experience pain. Our study formulated a pain assessment tool in the arthritis clinic to assess feasibility of measurements including the visual analog scale (VAS) and painDETECT to assess multimodal features of pain in people with established RA (n=100). Clinical measures of disease activity (Disease Activity Score in 28 Joints [DAS28]) were also recorded. Our data showed that despite the majority of subjects on at least one disease-modifying agent, the majority of patients reported severe pain (54%) by VAS, despite well-controlled clinical disease, with mean DAS28 2.07±0.9. Using the painDETECT questionnaire, 67% of patients had unlikely neuropathic pain. A significant proportion of subjects (28%) had possible neuropathic pain and 5% had features of likely neuropathic pain by painDETECT scoring. We found a positive correlation between VAS and painDETECT (R (2)=0.757). Of note, the group who had likely or probable neuropathic pain also showed significantly increased pain reporting by VAS (P30) also had statistically higher proportions of pain reporting (VAS 89.0±0.7 mm) compared with subjects who had a normal body mass index (VAS 45.2±21.8 mm), P<0.05. Our findings suggest that multimodal features of pain perception exist in RA, including neuropathic and sensitization elements, perhaps explaining why a subgroup of people with RA continue to experience ongoing pain, despite their apparent suppression of inflammation

Kinetics and thermodynamics of the reversible solvation of 2, 3-butanedione

En este trabajo se realiza un estudio de la adición reversible de agua y metanol a 2 ,3-butanodiona. Los valores de ΛH&nbsp;y ΛS de adición de agua y metanol son muy similares. Al diluir los solventes próticos con acetona se observa una marcada disminución en la exotermicidad de la adición. A pesar de la similitud en los parámetros termodinámicos, la hidratación es un proceso mucho más rápido que la adición de metanol

Inter-band B(E2) transition strengths in odd-mass heavy deformed nuclei

Inter-band B(E2) transition strengths between different normal parity bands in 163Dy and 165Er are described using the pseudo-SU(3) model. The Hamiltonian includes Nilsson single-particle energies, quadrupole-quadrupole and pairing interactions with fixed, parametrized strengths, and three extra rotor terms used to fine tune the energy spectra. In addition to inter-band transitions, the energy spectra and the ground state intra-band B(E2) strengths are reported. The results show the pseudo-SU(3) shell model to be a powerful microscopic theory for a description of the normal parity sector in heavy deformed odd-A nuclei.Comment: 4 figures, 2 table

SIGMA and XTE observations of the soft X-ray transient XTEJ1755-324

We present observations of the X-ray transient XTEJ1755-324 performed during summer 1997 with the XTE satellite and with the SIGMA hard X-ray telescope onboard the GRANAT observatory. The source was first detected in soft X-rays with XTE on July 25 1997 with a rather soft X-ray spectrum and its outburst was monitored in soft X-rays up to November 1997. On September 16 it was first detected in hard X-rays by the French soft gamma ray telescope SIGMA during a Galactic Center observation. The flux was stronger on September 16 and 17 reaching a level of about 110 mCrab in the 40-80 keV energy band. On the same days the photon index of the spectrum was determined to be alpha =-2.3 +/- 0.9 (1 sigma error) while the 40-150 keV luminosity was about 8 x 10^{36} erg/s for a distance of 8.5 kpc. SIGMA and XTE results on this source indicate that this source had an ultrasoft-like state during its main outburst and a harder secondary outburst in September. These characteristics make the source similar to X-Nova Muscae 1991, a well known black hole candidate.Comment: 19 pages LaTeX, 6 Postscript figures included, Accepted by Astrophysical Journa