Mud-bath therapy and oral glucosamine sulfate in patients with knee osteoarthritis: a randomized, controlled, crossover study.

OBJECTIVES: To evaluate the efficacy and safety of combined treatment of mud-bath therapy and glucosamine crystalline sulfate (GlcN-S) in patients with knee osteoarthritis (OA). METHODS: This study was a randomised, controlled, crossover investigation. Patients were randomly assigned (1:1) by the investigators to two groups, named group 1 and 2. Group 1 included twenty-three patients receiving oral GlcN-S treatment from the beginning of the study (T0) to the end of the 3rd month of treatment (T3) and a combined treatment of both mud-bath therapy and GlcN-S from T3 to the end of the study at six months (T6). Group 2 included twenty-two patients receiving a combined treatment of both mud-bath therapy and GlcN-S from T0 to T3 and that discontinued mud-bath therapy, receiving GlcN-S treatment alone, from T3 to T6. Primary endpoints of the study consisted of evaluating OA severity and activity at baseline and at follow-up visits. RESULTS: All 45 patients, eligible for the study, completed the period of the crossover. In group 1, no significant difference was shown in the comparison from T0 to T3, while from T3 to T6 most variables were significantly improved. In group 2, instead, the comparison between T0 and T3 showed a significant difference in different parameters. When comparing T3 and T6, despite an improvement of all the variables, no significant difference was shown. CONCLUSIONS: The association of GlcN-S and mud-bath therapy has a positive and safe role in improving pain, function and quality of life in knee OA patients.

Author Correction: Relativistic Doppler-boosted γ-rays in High Fields.

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Relativistic Doppler-boosted γ-rays in High Fields.

The relativistic Doppler effect is one of the most famous implications of the principles of special relativity and is intrinsic to moving radiation sources, relativistic optics and many astrophysical phenomena. It occurs in the case of a plasma sail accelerated to relativistic velocities by an external driver, such as an ultra-intense laser pulse. Here we show that the relativistic Doppler effect on the high energy synchrotron photon emission (~10 MeV), strongly depends on two intrinsic properties of the plasma (charge state and ion mass) and the transverse extent of the driver. When the moving plasma becomes relativistically transparent to the driver, we show that the γ-ray emission is Doppler-boosted and the angular emission decreases; optimal for the highest charge-to-mass ratio ion species (i.e. a hydrogen plasma). This provides new fundamental insight into the generation of γ-rays in extreme conditions and informs related experiments using multi-petawatt laser facilities.