Tapentadol Prolonged Release for Long-Term Treatment of Pain in Children

Purpose: Investigation of the efficacy and safety of tapentadol prolonged release (PR) compared with morphine PR for long-term treatment of pain in children. / Patients and Methods: Children aged 6 to < 18 years requiring long-term treatment with opioids were studied in a 12-month, 2-part, multi-center trial: Part 1, 14-day open-label, randomized, active-controlled, parallel group non-inferiority trial comparing twice daily tapentadol PR with morphine PR; Part 2, open-label treatment with tapentadol PR for up to 12 months or no treatment “safety observation period”. Pain intensity was rated with visual analogue scale or Faces Pain Scale-Revised, and non-inferiority was assessed by comparison of “treatment responders” (those completing the 14-day treatment period and showing pre-defined changes in pain rating) in each group. / Results: Twenty-three of 48 centers enrolled 73 patients. In Part 1, 45 and 24 patients received tapentadol or morphine, respectively, of which 40 and 22 completed 14-day treatment. In Part 2, thirty-six and 58 patients entered the tapentadol PR or observation periods, respectively, with 20/36 completing at least 12 weeks of treatment; 10 of the 36 had received morphine in Part 1. Forty-four of the 58 patients in the safety observation period had received tapentadol. Tapentadol PR was non-inferior to morphine PR (lower limit of confidence interval above negative non-inferiority margin of − 0.2) in Part 1. Rates of adverse events were as expected with nausea (22.2%) and constipation (15.6%) in the tapentadol PR group, and with vomiting (33.3%), nausea and constipation (each 16.7%) in the morphine PR group. No new safety issues were identified; the safety profile of tapentadol over the 12 months treatment and observation periods was comparable to that established in subjects > 18 years old. / Conclusion: Tapentadol PR was well tolerated and equivalent to morphine PR for both efficacy and safety in children (6 to < 18 years old) requiring long-term treatment with opioids

Rotational spectroscopy of rare iron monoxide isotopologues: A mass-independent analysis

We present pure rotational transitions of the rare iron monoxide isotopologues.,andin their lowest spin states. For, the rotational spectrum reveals hyperfine splitting due to the nuclear spin of. We use Dunham-like parameters to analyse the new laboratory data together with data from the literature. In particular, we are able to derive the Born-Oppenheimer breakdown parametersandand the corresponding equilibrium bond length of. With these new accurate molecular parameters line positions on a sub-MHz accuracy level can be calculated, including those of the radioactive isotopologue. The new data allow for an astronomical search for the rareisotopologues using sensitive radio telescopes, like the Atacama Large Millimetre/submillimetre Array

Scour protection design in highly morphodynamic environments

Offshore wind parks are often developed in areas with a highly morphodynamic seabed. In order to keep the pile fixation level within acceptable limits for pile design, sophisticated scour mitigation strategies are required. This paper discusses the scour protection strategy for the Nordergründe Offshore Wind Farm, where 10m seabed level drops are predicted at some monopile locations. Physical model tests were performed to validate the scour protection design, focussing on correct falling apron behaviour and the stability of the loose rock scour protection. The outcome of the tests showed good correlation with a modified relative mobility parameter. Using this parameter, the scour protection was optimised for the individual pile locations