A Study of Panel Loads and Centers of Pressure of Three Different Cruciform Aft-Tail Control Surfaces of a Wingless Missile from Mach 1.60 to 3.70

An investigation was made of the forces and moments on the cruciform aft-tail control surfaces of a wingless missile model to determine the variation of panel load and center of pressure with angle of attack, tail deflection, model roll angle, and Mach number. Also, a limited force-moment and surface-pressure investigation was made on a noncircular aft end. These investigations were made in a unitary plan wind tunnel at Mach numbers of 1.60, 2.36, and 3.70 and at a Reynolds number per meter of 6,600,000. The cruciform aft-tail results indicate very little variation in the center of pressure for the highly loaded windward tail. The noncircular aft-end test results indicate no significant effect of the fin unporting on the fin loads

Effects of Reynolds number and model support on the supersonic aerodynamic chacteristics of a 140 deg-included-angle cone

An investigation has been made in the Langley Unitary Plan wind tunnel to determine the effects of Reynolds number and sting-support interference on the static aerodynamic characteristics of a 140 deg-included-angle cone. Base pressures and forces and moments of the model were measured at Mach numbers of 1.50, 2.00, 2.94, and 4.00 for ratios of sting diameter to model diameter that varied from 0.125 to 0.500 through an angle-of-attack range from about minus 4 deg to 13 deg. The Reynolds number, based on model diameter 4.80 in. was varied from 161,000 to 415,000

Morphinofobia: the situation among the general population and health care professionals in North-Eastern Portugal

<p>Abstract</p> <p>Background</p> <p>Morphinofobia among the general population (GP) and among health care professionals (HP) is not without danger for the patients: it may lead to the inappropriate management of debilitating pain. The aim of our study was to explore among GP and HP the representation and attitudes concerning the use of morphine in health care.</p> <p>Methods</p> <p>A cross-sectional study was done among 412 HP (physicians and nurses) of the 4 hospitals and 10 community health centers of Beira Interior (Portugal)and among 193 persons of the GP randomly selected in public places. Opinions were collected through a translated self-administered questionnaire.</p> <p>Results</p> <p>A significant difference of opinion exists among GP and HP about the use of morphine. The word morphine first suggests drug to GP (36,2%) and analgesia to HP (32,9%.). The reasons for not using morphine most frequently cited are: for GP morphine use means advanced disease (56%), risk of addiction (50%), legal requirements (49,7%); for HP it means legal risks (56,3%) and adverse side effects of morphine such as somnolence - sedation (30,5%) The socio-demographic situation was correlated with the opinions about the use of morphine.</p> <p>Conclusions</p> <p>False beliefs about the use of morphine exist among the studied groups. There seems to be a need for developing information campaigns on pain management and the use of morphine targeting. Better training and more information of HP might also be needed.</p

An overview of treatment approaches for chronic pain management

Pain which persists after healing is expected to have taken place, or which exists in the absence of tissue damage, is termed chronic pain. By definition chronic pain cannot be treated and cured in the conventional biomedical sense; rather, the patient who is suffering from the pain must be given the tools with which their long-term pain can be managed to an acceptable level. This article will provide an overview of treatment approaches available for the management of persistent non-malignant pain. As well as attempting to provide relief from the physical aspects of pain through the judicious use of analgesics, interventions, stimulations, and irritations, it is important to pay equal attention to the psychosocial complaints which almost always accompany long-term pain. The pain clinic offers a biopsychosocial approach to treatment with the multidisciplinary pain management programme; encouraging patients to take control of their pain problem and lead a fulfilling life in spite of the pain. © 2016 Springer-Verlag Berlin Heidelber

Methadone Deaths: Risk Factors in Pain and Addicted Populations

Methadone is highly effective in treating opioid dependence, and it is also used as an analgesic for second-line management of chronic pain. However, recent increases in methadone-related deaths have instigated controversy about the use of this medication. In this paper, we evaluate risk factors for methadone mortality in opioid dependent and pain populations and present guidelines for initiating methadone treatment in these two populations to minimize the risk of death. Early research with methadone-maintained patients revealed that methadone fatalities occur primarily due to respiratory arrest during methadone induction and in the context of polysubstance use. Recent reports of methadone deaths emphasize chronic pain populations, methadone-related QTc prolongation, and the possibility of inducing Torsade de pointes (TdP), a potentially fatal ventricular arrhythmia. Retrospective analyses of these deaths show that patients who develop TdP often present with multiple risk factors, including high methadone doses, use of other medications that cause QTc prolongation, and electrolyte abnormalities. To minimize fatalities, guidelines are presented for initiating methadone in opioid treatment and pain populations that consider the drug’s pharmacology along with behavioral, medical and psychiatric risk factors