48 research outputs found

    Central pain mechanisms predict physical inactivity at 1-year in individuals with knee pain

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    Purpose: Pain is the primary clinical manifestation in individuals with osteoarthritis (OA). It is an unpleasant and distressing experience, particularly during weight-bearing activities, inhibiting activity, and reducing quality of life. Two groups of mechanisms cause OA pain: peripheral (local joint pain from joint pathology) and central (severely worsened pain due to brain and spinal cord processing of peripheral nociceptive inputs). Each contributes to varying extents at different times to an individual’s OA pain. Pain and physical inactivity are often treated by discrete interventions, but in reality are tightly integrated. Several traits linked to central pain processing, such as catastrophising, depression and fatigue, have been independently linked to physical inactivity. This study aimed to explore cross sectional and longitudinal associations between central pain mechanisms and physical inactivity in individuals with knee pain.Methods: This study is an analysis of the first 5,000 participants with validated questionnaire data, aged ≥40 who completed FRAIL in the Investigating Musculoskeletal Health and Wellbeing (IMH&W) cohort (n= >8,570), based in the East Midlands region of the UK. Participants completed a questionnaire at baseline and 1-year later, including participant characteristics and 0 to 10 numerical rating scale (NRS) of pain in the most troublesome joint in the past 4-weeks. Central pain Mechanisms Trait (CMT) was measured using the Central Aspects of Pain in the Knee (CAP-Knee) questionnaire, comprising 8-items addressing anxiety, depression, catastrophising, neuropathic-like pain, fatigue, sleep disturbance, pain distribution and cognitive impact, giving a maximum total score of 16. Self-reported physical activity was measured using the FiND questionnaire item, through which participants report their level of physical activity as either regular (at least 2-4 hours a week) or none/mainly sedentary. Associations were explored using logistic regression models. Data are presented as median (interquartile range), odds ratios (OR), and 95% confidence intervals.Results: 2473 participants completed the FRAIL, of whom 722 participants reported knee as their most troublesome joint and an NRS pain ≥1, of whom 407 participants had self-reported physical activity data also at 1-year. The 722 participants had a median (IQR) age 72 (65-77), with a BMI of 28.08 (24.82-31.64), 55% were female, and 70% reported being regularly physically active at baseline. Median (IQR) CAP-Knee was 8 (5-11) and NRS pain was 6 (4-8). Individuals who did not complete follow-up data had significantly higher baseline NRS pain, CAP-Knee, lower BMI, and were more sedentary. For each unit increase in NRS pain or CAP-Knee at baseline, participants were more likely to be sedentary at baseline (NRS OR=1.25 (95%CI 1.16, 1.36), P<0.001; CAP-Knee OR=1.20 (95%CI 1.14, 1.26), P<0.001) and follow-up (NRS OR=1.17 (95%CI 1.05, 1.30), P=0.004; CAP-Knee OR=1.15 (95%CI 1.08, 0.93), P<0.001). When adjusted for potential confounders age, sex, BMI, knee replacement the association between baseline CAP-Knee and baseline physical activity remained significant (aOR=1.19 (95%CI 1.13, 1.25) P<0.001, Table 1), and significantly predicted 1-year physical inactivity (aOR=1.13, (95%CI 1.06, 1.21) P<0.001, Table 2). The depression item was the only CAP-Knee item significantly associated with physical activity levels in both cross-sectional and longitudinal analyses. Baseline fatigue was significantly associated with baseline physical activity.Conclusions: Higher scores for baseline central pain mechanisms were associated with lower baseline physical activity and predicted 1-year physical inactivity. Our data highlight the integration between pain and physical activity. The observed associations between central pain mechanisms and physical activity might indicate shared neurological mechanisms, and central pain mechanisms might also act as barriers to increasing activity. Specific central mechanisms, particularly depression and fatigue, might be important targets to help improve physical activity in people with knee pain

    Prospects for asteroseismology

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    The observational basis for asteroseismology is being dramatically strengthened, through more than two years of data from the CoRoT satellite, the flood of data coming from the Kepler mission and, in the slightly longer term, from dedicated ground-based facilities. Our ability to utilize these data depends on further development of techniques for basic data analysis, as well as on an improved understanding of the relation between the observed frequencies and the underlying properties of the stars. Also, stellar modelling must be further developed, to match the increasing diagnostic potential of the data. Here we discuss some aspects of data interpretation and modelling, focussing on the important case of stars with solar-like oscillations.Comment: Proc. HELAS Workshop on 'Synergies between solar and stellar modelling', eds M. Marconi, D. Cardini & M. P. Di Mauro, Astrophys. Space Sci., in the press Revision: correcting abscissa labels on Figs 1 and

    Kepler-22b: A 2.4 Earth-radius Planet in the Habitable Zone of a Sun-like Star

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    A search of the time-series photometry from NASA's Kepler spacecraft reveals a transiting planet candidate orbiting the 11th magnitude G5 dwarf KIC 10593626 with a period of 290 days. The characteristics of the host star are well constrained by high-resolution spectroscopy combined with an asteroseismic analysis of the Kepler photometry, leading to an estimated mass and radius of 0.970 +/- 0.060 MSun and 0.979 +/- 0.020 RSun. The depth of 492 +/- 10ppm for the three observed transits yields a radius of 2.38 +/- 0.13 REarth for the planet. The system passes a battery of tests for false positives, including reconnaissance spectroscopy, high-resolution imaging, and centroid motion. A full BLENDER analysis provides further validation of the planet interpretation by showing that contamination of the target by an eclipsing system would rarely mimic the observed shape of the transits. The final validation of the planet is provided by 16 radial velocities obtained with HIRES on Keck 1 over a one year span. Although the velocities do not lead to a reliable orbit and mass determination, they are able to constrain the mass to a 3{\sigma} upper limit of 124 MEarth, safely in the regime of planetary masses, thus earning the designation Kepler-22b. The radiative equilibrium temperature is 262K for a planet in Kepler-22b's orbit. Although there is no evidence that Kepler-22b is a rocky planet, it is the first confirmed planet with a measured radius to orbit in the Habitable Zone of any star other than the Sun.Comment: Accepted to Ap

    Seismology of the Sun : Inference of Thermal, Dynamic and Magnetic Field Structures of the Interior

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    Recent overwhelming evidences show that the sun strongly influences the Earth's climate and environment. Moreover existence of life on this Earth mainly depends upon the sun's energy. Hence, understanding of physics of the sun, especially the thermal, dynamic and magnetic field structures of its interior, is very important. Recently, from the ground and space based observations, it is discovered that sun oscillates near 5 min periodicity in millions of modes. This discovery heralded a new era in solar physics and a separate branch called helioseismology or seismology of the sun has started. Before the advent of helioseismology, sun's thermal structure of the interior was understood from the evolutionary solution of stellar structure equations that mimicked the present age, mass and radius of the sun. Whereas solution of MHD equations yielded internal dynamics and magnetic field structure of the sun's interior. In this presentation, I review the thermal, dynamic and magnetic field structures of the sun's interior as inferred by the helioseismology.Comment: To be published in the proceedings of the meeting "3rd International Conference on Current Developments in Atomic, Molecular, Optical and Nano Physics with Applications", December 14-16, 2011, New Delhi, Indi

    A monovalent chimpanzee adenovirus Ebola vaccine boosted with MVA

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    BACKGROUND The West African outbreak of Ebola virus disease that peaked in 2014 has caused more than 11,000 deaths. The development of an effective Ebola vaccine is a priority for control of a future outbreak. METHODS In this phase 1 study, we administered a single dose of the chimpanzee adenovirus 3 (ChAd3) vaccine encoding the surface glycoprotein of Zaire ebolavirus (ZEBOV) to 60 healthy adult volunteers in Oxford, United Kingdom. The vaccine was administered in three dose levels — 1×1010 viral particles, 2.5×1010 viral particles, and 5×1010 viral particles — with 20 participants in each group. We then assessed the effect of adding a booster dose of a modified vaccinia Ankara (MVA) strain, encoding the same Ebola virus glyco- protein, in 30 of the 60 participants and evaluated a reduced prime–boost interval in another 16 participants. We also compared antibody responses to inactivated whole Ebola virus virions and neutralizing antibody activity with those observed in phase 1 studies of a recombinant vesicular stomatitis virus–based vaccine expressing a ZEBOV glycoprotein (rVSV-ZEBOV) to determine relative potency and assess durability. RESULTS No safety concerns were identified at any of the dose levels studied. Four weeks after immunization with the ChAd3 vaccine, ZEBOV-specific antibody responses were similar to those induced by rVSV-ZEBOV vaccination, with a geometric mean titer of 752 and 921, respectively. ZEBOV neutralization activity was also similar with the two vaccines (geo- metric mean titer, 14.9 and 22.2, respectively). Boosting with the MVA vector increased virus-specific antibodies by a factor of 12 (geometric mean titer, 9007) and increased glycoprotein-specific CD8+ T cells by a factor of 5. Significant increases in neutralizing antibodies were seen after boosting in all 30 participants (geometric mean titer, 139; P<0.001). Virus-specific antibody responses in participants primed with ChAd3 remained positive 6 months after vaccination (geometric mean titer, 758) but were significantly higher in those who had received the MVA booster (geometric mean titer, 1750; P<0.001). CONCLUSIONS The ChAd3 vaccine boosted with MVA elicited B-cell and T-cell immune responses to ZEBOV that were superior to those induced by the ChAd3 vaccine alone. (Funded by the Wellcome Trust and others; ClinicalTrials.gov number, NCT02240875.

    Lifetimes of High-Degree p Modes in the Quiet and Active Sun

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    We study variations of the lifetimes of high-degree solar p-modes in the quiet and active Sun with the solar activity cycle. The lifetimes in the degree range 300 - 600 and frequency 2.5 - 4.5 mHz were computed from SOHO/MDI data in an area including active regions and quiet Sun using the time-distance technique. We applied our analysis to the data in four different phases of solar activity: in 1996 (at minimum), 1998 (rising phase), 2000 (at maximum) and 2003 (declining phase). The results from the area with active regions show that the lifetime decreases as activity increases. The maximal lifetime variations are between solar minimum in 1996 and maximum in 2000; the relative variation averaged over all mode degree values and frequencies is a decrease of about 13%. The lifetime reductions relative to 1996 are about 7% in 1998 and about 10% in 2003. The lifetime computed in the quiet region still decreases with solar activity although the decrease is smaller. On average, relative to 1996, the lifetime decrease is about 4% in 1998, 10% in 2000 and 8% in 2003. Thus, measured lifetime increases when regions of high magnetic activity are avoided. Moreover, the lifetime computed in quiet regions also shows variations with activity cycle.Comment: 13 pages, 5 figures; Accepted for publication in Solar Physic

    KOI-3158: The oldest known system of terrestrial-size planets

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    The first discoveries of exoplanets around Sun-like stars have fueled efforts to find ever smaller worlds evocative of Earth and other terrestrial planets in the Solar System. While gas-giant planets appear to form preferentially around metal-rich stars, small planets (with radii less than four Earth radii) can form under a wide range of metallicities. This implies that small, including Earth-size, planets may have readily formed at earlier epochs in the Universe's history when metals were far less abundant. We report Kepler spacecraft observations of KOI-3158, a metal-poor Sun-like star from the old population of the Galactic thick disk, which hosts five planets with sizes between Mercury and Venus. We used asteroseismology to directly measure a precise age of 11.2 ± 1.0 Gyr for the host star, indicating that KOI-3158 formed when the Universe was less than 20 % of its current age and making it the oldest known system of terrestrial-size planets. We thus show that Earth-size planets have formed throughout most of the Universe's 13.8-billion-year history, providing scope for the existence of ancient life in the Galaxy
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