Fatal intoxication caused by the application of the multiple transdermals patchs of fentanyl

Fentanyl (N-phenyl-N-(1-2-phenylethyl-4-piperidyl)propanamide) is a potent synthetic narcotic analgesic. He has an analgesic effect 100 timesgreater than that of morphine. The use of transdermal fentanyl delivrery systems has increased over recent years especially in patients withchronic pain who are already treated with high doses of morphine or it is derivate. However, many cases of fentanyl intoxication through a varietyof transderrmal systems have been reported. This paper reports a fatality due to excessive administered Fentanyl Sandoz® Matrix 50ìg/htransdermal therapeutic systems

Single-shot two-dimensional spectral interferometry for ultrafast laser-produced plasmas

This paper was published in Optics Letters and is made available as an electronic reprint with the permission of OSA. The paper can be found at the following URL on the OSA website: http://dx.doi.org/10.1364/OL.31.001917 Systematic or multiple reproduction or distribution to multiple locations via electronic or other means is prohibited and is subject to penalties under law

The failed liberalisation of Algeria and the international context: a legacy of stable authoritarianism

The paper attempts to challenge the somewhat marginal role of international factors in the study of transitions to democracy. Theoretical and practical difficulties in proving causal mechanisms between international variables and domestic outcomes can be overcome by defining the international dimension in terms of Western dominance of world politics and by identifying Western actions towards democratising countries. The paper focuses on the case of Algeria, where international factors are key in explaining the initial process of democratisation and its following demise. In particular, the paper argues that direct Western policies, the pressures of the international system and external shocks influence the internal distribution of power and resources, which underpins the different strategies of all domestic actors. The paper concludes that analysis based purely on domestic factors cannot explain the process of democratisation and that international variables must be taken into more serious account and much more detailed

The Effect of absorbing sites on the one-dimensional cellular automaton traffic flow with open boundaries

The effect of the absorbing sites with an absorbing rate $\beta_{0}$, in both one absorbing site (one way out) and two absorbing sites (two ways out) in a road, on the traffic flow phase transition is investigated using numerical simulations in the one-dimensional cellular automaton traffic flow model with open boundaries using parallel dynamics.In the case of one way out, there exist a critical position of the way out $i_{c1}$ below which the current is constant for $\beta_{0}$$<$$\beta_{0c2}$ and decreases when increasing $\beta_{0}$ for $\beta_{0}$$>$$\beta_{0c2}$. When the way out is located at a position greater than $i_{c2}$, the current increases with $\beta_{0}$ for $\beta_{0}$$<$$\beta_{0c1}$ and becomes constant for any value of $\beta_{0}$ greater than $\beta_{0c1}$. While, when the way out is located at any position between $i_{c1}$ and $i_{c2}$ ($i_{c1}$$<$$i_{c2}$), the current increases, for $\beta_{0}$$<$$\beta_{0c1}$, with $\beta_{0}$ and becomes constant for $\beta_{0c1}$$<$$\beta_{0}$$<$$\beta_{0c2}$ and decreases with $\beta_{0}$ for $\beta_{0}$$>$$\beta_{0c2}$. In the later case the density undergoes two successive first order transitions; from high density to maximal current phase at $\beta_{0}$$=$$\beta_{0c1}$ and from intermediate density to the low one at $\beta_{0}$$=$$\beta_{0c2}$. In the case of two ways out located respectively at the positions $i_{1}$ and $i_{2}$, the two successive transitions occur only when the distance $i_{2}$-$i_{1}$ separating the two ways is smaller than a critical distance $d_{c}$. Phase diagrams in the ($\alpha,\beta_{0}$), ($\beta,\beta_{0}$) and ($i_{1},\beta_{0}$) planes are established. It is found that the transitions between Free traffic, Congested traffic and maximal current phase are first order

Theoretical Analysis of the Regioselective Electrophilic Chloration and Chemioselective Esterification of the pyrazolo[1,5-a]pyridine-2,3-dicarboxylic acid

The reaction between the pyrazolo[1,5-a]pyridine-2,3-dicarboxylic acid 1 and SOCl2 has been studied within the Density Functional Theory (DFT) B3LYP/6-31G(d,p) computational level. Examination of the conceptual DFT reactivity indices permit the elucidation of the reactivity, and the regio- and chemoselectivity experimentally observed. The possible regioselective channels and chemoselective channels were explored and characterized. Analysis of the energies associated with the different reaction pathways shows that this reaction is completely chemioselective and regioselective, in conformity with the experimental results

Surface solitons at interfaces of arrays with spatially-modulated nonlinearity

We address the properties of two-dimensional surface solitons supported by the interface of a waveguide array whose nonlinearity is periodically modulated. When the nonlinearity strength reaches its minima at the points where the linear refractive index attains its maxima, we found that nonlinear surface waves exist and can be made stable only within a limited band of input energy flows, and for lattice depths exceeding a lower threshold.Comment: 13 pages, 3 figures, to appear in Optics Letter

Dynamics of Action Potential Initiation in the GABAergic Thalamic Reticular Nucleus In Vivo

Understanding the neural mechanisms of action potential generation is critical to establish the way neural circuits generate and coordinate activity. Accordingly, we investigated the dynamics of action potential initiation in the GABAergic thalamic reticular nucleus (TRN) using in vivo intracellular recordings in cats in order to preserve anatomically-intact axo-dendritic distributions and naturally-occurring spatiotemporal patterns of synaptic activity in this structure that regulates the thalamic relay to neocortex. We found a wide operational range of voltage thresholds for action potentials, mostly due to intrinsic voltage-gated conductances and not synaptic activity driven by network oscillations. Varying levels of synchronous synaptic inputs produced fast rates of membrane potential depolarization preceding the action potential onset that were associated with lower thresholds and increased excitability, consistent with TRN neurons performing as coincidence detectors. On the other hand the presence of action potentials preceding any given spike was associated with more depolarized thresholds. The phase-plane trajectory of the action potential showed somato-dendritic propagation, but no obvious axon initial segment component, prominent in other neuronal classes and allegedly responsible for the high onset speed. Overall, our results suggest that TRN neurons could flexibly integrate synaptic inputs to discharge action potentials over wide voltage ranges, and perform as coincidence detectors and temporal integrators, supported by a dynamic action potential threshold

From domestic to regional: The civil war conundrum and the cases of Syria and Algeria

This paper seeks to answer a simple question: When do regional powers get involved in civil wars? Some civil wars see a significant involvement of regional actors, while others show a remarkable level of isolation. What explains this difference? This research answers this question by looking at two case studies: the Algerian civil war (1991–2002) and the Syrian civil war (2011–up to date). The paper identifies and develops five factors of regional involvement. These are: capabilities, regional dynamics, country’s relevance, regional security issues/containment and domestic–external links. civil wars are today one of the most prominent and deadly forms of conflict, and this paper contributes to understanding the important but understudied issue of regional involvement.N/

Activation of Protein Kinase A and Exchange Protein Directly Activated by cAMP Promotes Adipocyte Differentiation of Human Mesenchymal Stem Cells

Human mesenchymal stem cells are primary multipotent cells capable of differentiating into several cell types including adipocytes when cultured under defined in vitro conditions. In the present study we investigated the role of cAMP signaling and its downstream effectors, protein kinase A (PKA) and exchange protein directly activated by cAMP (Epac) in adipocyte conversion of human mesenchymal stem cells derived from adipose tissue (hMADS). We show that cAMP signaling involving the simultaneous activation of both PKA- and Epac-dependent signaling is critical for this process even in the presence of the strong adipogenic inducers insulin, dexamethasone, and rosiglitazone, thereby clearly distinguishing the hMADS cells from murine preadipocytes cell lines, where rosiglitazone together with dexamethasone and insulin strongly promotes adipocyte differentiation. We further show that prostaglandin I2 (PGI2) may fully substitute for the cAMP-elevating agent isobutylmethylxanthine (IBMX). Moreover, selective activation of Epac-dependent signaling promoted adipocyte differentiation when the Rho-associated kinase (ROCK) was inhibited. Unlike the case for murine preadipocytes cell lines, long-chain fatty acids, like arachidonic acid, did not promote adipocyte differentiation of hMADS cells in the absence of a PPARγ agonist. However, prolonged treatment with the synthetic PPARδ agonist L165041 promoted adipocyte differentiation of hMADS cells in the presence of IBMX. Taken together our results emphasize the need for cAMP signaling in concert with treatment with a PPARγ or PPARδ agonist to secure efficient adipocyte differentiation of human hMADS mesenchymal stem cells