76 research outputs found

    Management of hot flashes in patients who have breast cancer with Venlafaxine and Clonidine: a randomized, double-blind, placebo-controlled trial

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    Purpose: Therapies for breast cancer may induce hot flashes that can affect quality of life. We undertook a double-blind, placebo-controlled trial with the primary objective of comparing the average daily hot flash scores in the twelfth week among patients treated with venlafaxine, clonidine, and placebo. Additional analyses of the hot flash score over the full 12 weeks of treatment were performed. Patients and Methods: In all, 102 patients with a history of breast cancer were randomly assigned (2:2:1) to venlafaxine 75 mg, clonidine 0.1 mg, or placebo daily for 12 weeks. Questionnaires at baseline and during treatment assessed daily hot flash scores, sexual function, sleep quality, anxiety, and depression. Results: After 12 weeks, a total of 80 patients were evaluable for the primary end point. During week 12, hot flash scores were significantly lower in the clonidine group versus placebo (P = .03); for venlafaxine versus placebo, the difference was borderline not significant (P = .07). However, hot flash scores were equal in the clonidine and venlafaxine groups. Over the course of 12 weeks, the differences between both treatments and placebo were significant (P <.001 for venlafaxine v placebo; P = .045 for clonidine v placebo). Frequencies of treatment-related adverse effects of nausea (P = .02), constipation (P = .04), and severe appetite loss were higher in the venlafaxine group. Conclusion: Venlafaxine and clonidine are effective treatments in the management of hot flashes in patients with breast cancer. Venlafaxine resulted in a more immediate reduction of hot flash scores when compared with clonidine; however, hot flash scores at week 12 were lower in the clonidine group than in the venlafaxine group.Annelies H. Boekhout, Andrew D. Vincent, Otilia B. Dalesio, Joan van den Bosch, Joke H. Foekema-Töns, Sandra Adriaansz, Sylvia Sprangers, Bastiaan Nuijen, Jos H. Beijnen, and Jan H.M. Schellen

    A Proposal for Introspection in EPICS

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    Introspection provides some mapping of function to process variables. To implement this in EPICS, a service is required to define these relationships that may be accomplished external to the control system as an extension to the directory service. This paper outlines the functionality and design to implement this functionalit

    L Polarization in Unpolarized Hadron Reactions.

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    The transverse polarization observed in the inclusive production of {Lambda} hyperons in the high energy collisions of unpolarized hadrons is tackled by considering a new set of spin and {kappa}{perpendicular} dependent quark fragmentation functions. Simple phenomenological expressions for these new ''polarizing fragmentation functions'' are obtained by a fit of the data on {Lambda}'s and {bar {Lambda}}'s produced in p - N processes

    The MICE Muon Beam on ISIS and the beam-line instrumentation of the Muon Ionization Cooling Experiment

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    The international Muon Ionization Cooling Experiment (MICE), which is under construction at the Rutherford Appleton Laboratory (RAL), will demonstrate the principle of ionization cooling as a technique for the reduction of the phase-space volume occupied by a muon beam. Ionization cooling channels are required for the Neutrino Factory and the Muon Collider. MICE will evaluate in detail the performance of a single lattice cell of the Feasibility Study 2 cooling channel. The MICE Muon Beam has been constructed at the ISIS synchrotron at RAL, and in MICE Step I, it has been characterized using the MICE beam-instrumentation system. In this paper, the MICE Muon Beam and beam-line instrumentation are described. The muon rate is presented as a function of the beam loss generated by the MICE target dipping into the ISIS proton beam. For a 1 V signal from the ISIS beam-loss monitors downstream of our target we obtain a 30 KHz instantaneous muon rate, with a neglible pion contamination in the beam
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