Ibuprofen as a Treatment for Work-Related Musculoskeletal Disorders: Effectiveness versus Caveats

Work-related upper limb disorders (WMSDs), also known as repetitive strain injuries, affect a large subsection of the US population. These disorders are a significant source of injury, morbidity, loss of work, and pain. We have developed a rat model of upper extremity repetitive work at high forces, and observed exposure-dependent increased inflammatory responses in all tissues involved in performing the task. A 2- to 8-week regimen of oral ibuprofen provided to rats while they continued to perform a high-repetition high-force task ameliorated these inflammatory responses as well as several motor declines. Ibuprofen treatment also attenuated task-induced tissue fibrosis, cartilage degeneration, and bone osteopenia, indicating their link to inflammatory processes. However, ibuprofen did not significantly attenuate persistent nocifensive pain behaviors (reflexive grip strength results are presented) likely because of persistent increases in inflammatory cytokines in the spinal cord, suggestive of central sensitization. Since long-term ibuprofen use can induce a number of negative side effects, such as gastritis, multi-pronged approaches should be considered with anti-inflammatory drugs included for only short time periods

Quand l'information échappe à ses créateurs : le cas de l'artificialisation des terres agricoles en Languedoc-Roussillon

International audienceThis article aims to describe how the quantification of a phenomenon in relation to a specific worldview spreads and is distorted. This project has been supported by a regional public authority in Languedoc-Roussillon (France), and consisted in the production of information so to quantify and qualify the farmland decrease due to urban sprawl. The paper is based on Latour's actor-network theory; it characterizes the process of enrolment, and the development of dissidences. Identifying contradictory logics and dissidences help questioning the complexity of ‘closing the black-box' regarding information production and of sensemaking between heterogeneous actants involved in a supposed-to-be public debate.Cet article vise à spécifier comment la quantification d'un phénomène fondée sur une certaine vision du monde se propage et se déforme. Ce projet a été porté par une direction déconcentrée de l'Etat soucieuse de l'emprise croissante du bâti sur les terres agricoles en Languedoc-Roussillon. Le cadre théorique mobilisé, la sociologie de la traduction, permet d'identifier les grandes étapes d'intéressement, d'enrôlement, ainsi que le développement de controverses. Les difficultés rencontrées interrogent sur la complexité de clôture de processus innovants s'agissant de production d'information et de co-construction de sens associant des actants hétérogènes impliqués dans des procédures de débat public

An OBIA for fine-scale land cover spatial analysis over broad territories: demonstration through riparian corridor and artificial sprawl studies in France

International audienceSpatial analysis using fine-scale information over broad territories is essential to define efficient restoration strategies from local to national scale. We designed an OBIA dedicated to produce operationally reliable fine-scale information over broad territories. The originality of our OBIA lies particularly in the top-down approach for the construction of the classification tree and the use of „knowledge-based rules‟ classification technique. The implementation of this OBIA over the two study areas – (i) the Normandy region for riparian area land cover mapping (5600 km² riparian area) and (ii) fours departments over the Languedoc-Roussillon region (22644 km²) – demonstrates the operability of our approach (time-efficient, reproducible, transferable, portable). Broad scale spatial analysis conducted from resulting maps demonstrate the interest of using fine-scale information and highlight that OBIA, following our approach, will be at very short run a broadly applicable method to carry out such analysis

Osteocondroma intra-raquideo con afectación neurológica

Se presenta el caso de un varón de 16 años con lumbalgia consecutiva a traumatismo vertebral, sin hallazgo s radiológicos, que no mejoraba con tratamient o conservador, y que a las 5 semanas desarrolló un cuadro de paraparesia e incontinencia de esfínteres indicativo de afectación del cono medular. En el estudio mielográfico se objetivó bloqueo completo a nivel de Ll. La tomografía axial mostró una imagen sugestiva de osteocondroma intraraquídeo, que s e confirmó quirúrgicamente . Dos año s tras la intervención, se logró la total recuperación neurológica. Se destaca la rareza de la lesión, la dificultad diagnóstica, y la probable etiología traumática de la tumoración.A 16-year-old man with no improvement of low back pain after vertebral trauma conservatively treated and without radiological findings is presented. Five weeks after trauma, the patient developed paraparesia and fecal and urinary incontinence indicating compression of the medullary conus. A complet e stop of the contrast at Ll level wa s found in the myelographi c study. The CT-Scan showed an image suggesting osteochondroma whic h wa s confirmed a r surgery. Complet e neurogical recover y w a s achieved 2 year s after surgical treatment. The rare character of the lesion, the dificulty for diagnosis and the probable traumatic etiology of this tumor is discussed

Individualized Catheter Surveillance among Neonates: A Prospective, 8-Year, Single-Center Experience

Objective. To monitor trends in central line-associated bloodstream infections and clinical sepsis (CLABICS) among neonates and to determine risk factors for infection, especially dwell time. Design. Prospective, single-center cohort study conducted from 2001 through 2008. Setting. University-affiliated tertiary care center. Methods. Individualized surveillance of catheter use and CLABICS episodes was conducted. Data were obtained via regular on-site visits made 3 times a week. Trends over time were estimated by Poisson regression, and risk factor analysis was conducted using a Cox proportional hazards model and logistic regression. Results. In all, 1,124 neonates were exposed to 2,210 central lines for a total of 12,746 catheter-days and 11,467 catheter-days at risk. The median duration of catheter use was 8 (interquartile range, 5-11) days for peripherally inserted central catheters (PICCs) and 4 (interquartile range, 2-6) days for umbilical catheters; 102 CLABICS episodes were detected. The median time to infection was 7 days. Incidence densities were 8.5 CLABICS episodes per 1,000 catheter-days at risk and 8.0 CLABICS episodes per 1,000 catheter-days. The highest rates were identified among neonates weighing 750 g or lower (14.9 CLABICS episodes per 1,000 catheter days at risk) and for PICCs (13.2 CLABICS episodes per 1,000 catheter days at risk). Catheter dwell time was associated with CLABICS for all umbilical catheters (odds ratio [OR], 1.2 per day of use [95% confidence interval {CI}, 1.1-1.3] P< .001) and for PICCs for up to 7 days (OR, 1.2 [95% CI, 1.1-1.4]; P = .041), but not thereafter (OR, 1.0 [95% CI, 0.9-1.1]; P = .90). Conclusion. Catheter dwell time is a risk factor for CLABICS during the first 7 days, irrespective of catheter type. After 7 days, PICCs are less likely to become infecte

Task based profiles of language impairment in Parkinson’s Disease

This study aimed to add to our understanding of language impairment in people with Parkinson's Disease (PwPD). Language difficulties are increasingly reported in PD. However, there are contradictory reports on how they relate to motor and cognitive impairment. In addition, the link between various language deficits or the same deficits across task modalities is not well understood. This lack of understanding impacts on clinicians’ ability to assess and effectively treat language impairment in PD. Our study therefore aimed to investigate language performance across a number of task structures and correlate this performance with cognitive skills, as well as motor and speech performance. The study included 22 German speaking PwPD and 22 matched healthy control participants. 18 participants in each group were cognitively healthy and four had mild cognitive impairment. They performed a number of executive function and language tasks of different complexity and structure. The linguistic investigation focused on grammatical accuracy and complexity, linguistic content as well as articulatory features. There were few cognitive differences between the two groups, with only set-shifting as an executive function being significantly reduced in PwPD, but grammatical error rate was higher in PwPD than in their healthy controls across all language tasks. This was linked to set shifting skills but only for the complex grammar condition, not for more naturalistic language tasks. Furthermore, there was no correlation of language performance across the task levels, i.e. error rates in the structured task did not predict naturalistic performance. Motor and dysarthria severity could not predict language impairment either. This study confirms the presence of language problems in PwPD in the absence of global cognitive impairment or only MCI, and at the same time establishes a task based relationship between the two skills. From a clinical perspective the data indicate that structured tests are unable to accurately predict naturalistic language performance, highlighting the need for functional assessments rather than relying on fast scoring structured tests, at least at early disease stages. In addition, the impact of the individual language difficulties needs to be explored to establish appropriate and effective treatment pathways

Performance of a repetitive task by aged rats leads to median neuropathy and spinal cord inflammation with associated sensorimotor declines

Epidemiological studies have demonstrated a relationship between advancing age and susceptibility to risk factors for median neuropathies and musculoskeletal disorders. In this study, we determined if performance of a voluntary reaching task by aged rats induced sensorimotor declines, median nerve dysfunction and increased inflammatory cytokines in peripheral nerves, muscle and spinal cord neurons. Aged (14 mon) rats were trained for 15 min/day for 4 weeks to learn a high repetition, low force (HRLF) task (19 reaches/min; 15% maximum pulling force). Aged task rats performed the task for 2 h/day, 3 days/wk, for 12 weeks (until they were 18 mon of age). No behavioral changes were detected in normal controls (NC) or food-restricted controls (FR C) as they aged. However, grip strength declined in HRLF rats in weeks 6-12 (P\u3c0.01 each) and 12-week trained-only rats (TR; P\u3c0.05), compared to NC. Mechanical hypersensitivity was present in weeks 9 and 12 HRLF reach limb forepaws (P\u3c0.01 and P\u3c0.05, respectively), and 12-week HRLF support limb forepaws (P\u3c0.01) and hindpaws (P=0.03), compared to NC. By week 12, median nerve conduction velocity declined 23%, bilaterally, in HRLF (P\u3c0.001 each), and 13% in TR (P\u3c0.05), compared to NC. Tumor necrosis factor alpha (TNFα) increased in 12-week HRLF muscle (P=0.005), median nerve (P\u3c0.01), and neurons in superficial lamina of HRLF cervical spinal cords (P\u3c0.01), compared to NC. interleukin 1 beta (IL1β) also increased in superficial lamina neurons (P\u3c0.01). Loss of grip strength was correlated with median nerve conduction slowing (r=0.70) as well as increased nerve and muscle TNFα (r=-0.38 and r=-0.41, respectively); decrease in forepaw withdrawal thresholds was correlated with median nerve conduction slowing (r=0.81), increased nerve TNFα (r=-0.59), and increased TNFα and IL1β in neurons in spinal cord dorsal horns (r=-0.52 and r=-0.47, respectively). Thus, aged rats performing a repetitive task exhibited sensorimotor declines that were associated with decreased median nerve conduction, and increased pro-inflammatory cytokines in the median nerve and cervical spinal cord neurons

Prevalence of and risk factors for suicidal ideation in adolescents during the COVID-19 pandemic: a cross-sectional study.

Pandemic-related life changes may have had a deleterious impact on suicidal behaviours. Early detection of suicidal ideation and identification of subgroups at increased risk could help prevent suicide, one of the leading causes of death among adolescents worldwide. Here, we aimed to investigate the prevalence of and risk factors for suicidal ideation in adolescents using a population-based sample from Switzerland, two years into the pandemic. Between December 2021 and June 2022, adolescents aged 14 to 17 years already enrolled in a population-based cohort study (State of Geneva, Switzerland) were asked about suicidal ideation over the previous year. In addition to a regression model, we conducted a network analysis of exposures which identified direct and indirect risk factors for suicidal ideation (i.e. those connected through intermediate risk factors) using mixed graphical models. Among 492 adolescents, 14.4% (95% CI: 11.5-17.8) declared having experienced suicidal ideation over the previous year. Using network analysis, we found that high psychological distress, low self-esteem, identifying as lesbian, gay or bisexual, suffering from bullying, extensive screen time and a severe COVID-19 pandemic impact were major risk factors for suicidal ideation, with parent-adolescent relationship having the highest centrality strength in the network. Our results show that a significant proportion of adolescents experience suicidal ideation, yet these rates are comparable with pre-pandemic results. Providing psychological support is fundamental, with a focus on improving parent-adolescent relationships

High-pressure batch reverse osmosis (RO) for zero liquid discharge (ZLD) in a Cr(III) electroplating process

A batch RO system was designed and built for high-pressure (120 bar) operation. The system was developed for a ZLD application involving treatment of metal plating wastewater from a Cr(III) electroplating process at a major industrial plant. Hybrid semi-batch/batch operation enabled a compact design to be achieved. To maximize water recovery without exceeding a set peak pressure, a method for controlling the switch point between semi-batch and batch phases was developed. The system was tested with feed representative of rinse water from the electroplating process. A range of feed concentrations (at 10–20× dilution of the plating bath), feed flows (0.21–0.46 m3/h), water fluxes (6–14 LMH) and water recoveries (87–95.7 %) were investigated. The system successfully recovered Cr(III) and restored its concentration to that of the electrolyte bath, thus meeting the requirements for reuse in the electroplating process. Rejection of most species was &gt;99.8 %, sufficient for reuse of the permeate as rinse. However, rejection of boric acid was only 69–80 % such that a second RO pass may be needed to remove boric acid. Specific Energy Consumption was &lt;2.25 kWh per m3 of treated rinse water, representing a 50-fold saving compared to the current method of treatment and disposal at the industrial plant

High Resolution Infrared Spectroscopy in Support of Ozone Atmospheric Monitoring and Validation of the Potential Energy Function

The first part of this review is a brief reminder of general information concerning atmospheric ozone, particularly related to its formation, destruction, observations of its decrease in the stratosphere, and its increase in the troposphere as a result of anthropogenic actions and solutions. A few words are said about the abandonment of the Airbus project Alliance, which was expected to be the substitute of the supersonic Concorde. This project is over due to the theoretical evaluation of the impact of a fleet in the stratosphere and has been replaced by the A380, which is now operating. The largest part is devoted to calculations and observations of the transitions in the infrared range and their applications for the atmosphere based both on effective models (Hamiltonian, symmetry rules, and dipole moments) and ab initio calculations. The complementarities of the two approaches are clearly demonstrated, particularly for the creation of an exhaustive line list consisting of more than 300,000 lines reaching experimental accuracies (from 0.00004 to 0.001 cm−1) for positions and a sub percent for the intensities in the 10 microns region. This contributes to definitively resolving the issue of the observed discrepancies between line intensity data in different spectral regions: between the infrared and ultraviolet ranges, on the one hand, and between 10 and 5 microns on the other hand. The following section is devoted to the application of recent work to improve the knowledge about the behavior of potential function at high energies. A controversial issue related to the shape of the potential function in the transition state range near the dissociation is discussed. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.Funding: The activities of S.M. and E.S. were supported by the Ministry of Science and Higher Education of the Russian Federation (V.E. Zuev Institute of Atmospheric Optics SB RAS); the work of S.M. was also supported by Ural Federal University