An introduction to the methods and ideas of Chiral Perturbation Theory is presented in this talk. The discussion is illustrated with some phenomenological predictions that can be compared with available experimental results.
Studies of novel centrally acting drugs in healthy volunteers are traditionally concerned with kinetics and tolerability, but useful information may also be obtained from biomarkers of clinical endpoints. A useful biomarker should meet the following requirements: a consistent response across studies and drugs; a clear response of the biomarker to a therapeutic dose; a dose-response relationship; a plausible relationship between biomarker, pharmacology and pathogenesis. In the current review, all individual tests found in studies of benzodiazepine agonists registered for anxiety in healthy volunteers since 1966 were progressively evaluated for compliance with these requirements. A MedLine search yielded 56 different studies, investigating the effects of 16 different benzodiazepines on 73 different (variants of ) neuropsychological tests, which could be clustered into seven neuropsychological domains. Subjective and objective measures of alertness were most sensitive to benzodiazepines. The most consistent effects were observed on saccadic peak velocity (SPV) and visual analogue scores ( VAS) of alertness, where 100% and 79% of all studies respectively showed statistically significant effects. A dose-response relationship could be constructed for temazepam and SPV, which was used to determine dose equivalencies relative to temazepam, for seven different benzodiazepines. These dose equivalencies correlated with the lowest recommended daily maintenance dose ( r 2 = 0.737, P < 0.05). This relationship between SPV reduction and clinical efficacy could reflect the clinical practice of aiming for maximum tolerated levels, or it could represent a common basis behind SPV reduction and anxiolytic activity for benzodiazepines (probably sedation). The number of tests used in human psychopharmacology appears to be excessive and their sensitivity and reproducibility low.
We study the one-loop corrections in chiral perturbation theory to the yy and yy* decays of the pseudoscalar mesons. The latter are divergent, thus requiring the existence of dimension-six terms contributing to the anomalous Lagrangian. Some examples of such terms are given. We also discuss the experimental consequences of the next-to-leading terms. Chiral perturbation theory' starts with the Lagrangian X2 and proceeds to a higher-order expansion in terms of momenta and quark masses. The resulting efkctive low-energy theory is completely known to nextto-leading order, once the g~h as been integrated out. It contains two distinct types of terms. The first ones are originated by pseudoscalar loops with vertices deducible from L2 giving rise to analytic and nonanalytic contributions. The latter are particularly interesting, since they are considered to be the dominant ones and, on the other hand, involve a dependence on the renormalization scale p. As a result of this, the second type of (counter)terms, eliminating that p dependence and the associated divergences, is required. The set of all the counterterms appearing in the next-order Lagrangian, L4, has been identified and extensively analyzed by Gasser and Leutwyler.
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