The Area of Pressure-Induced Referred Pain Is Dependent on the Intensity of the Suprathreshold Stimulus: An Explorative Study

Objective: To investigate the pain referral area (number of pixels) and extent (vector length) as elicited from increasing intensities of pressure-induced pain at the shoulder. Design: Cross-sectional design. Setting: Clinical laboratory setting. Participants: Twenty-two healthy men and women participated in two experimental sessions. Methods: Delayed onset of muscle soreness (DOMS) was induced in the dominant shoulder and assessed 24 hours later. Participants rated the level of DOMS on a 6-point Likert scale. Four different intensities (pressure pain threshold [PPT]+20%, PPT+30%, PPT+40%, and PPT+50%) were applied to the infraspinatus in a randomized, balanced fashion for 60 seconds from low to high intensity or vice versa. The resulting location, area, and extent of referred pain as drawn by the participants on a digital body chart were extracted and expressed in pixels. The extent of pain was defined as the vector length extending from the ipsilateral earlobe to the most distal location of the pain. Results: The referred pain area from PPT+20% was smaller than PPT+30%, PPT+40%, and PPT+50%. The extent of referred pain did not differ between the pressure pain intensities. Conclusions: Pressure intensity at PPT+30%, but no more, produces the greatest referred pain area as compared with the traditional pressure intensity of PPT+20%. Thus, the intensity of PPT+30% may be ideal for exploring the mechanisms of referred pain. The extent of the pain represents an independent expression of the intensity of the provoking stimulus and may be more closely related to the location of the stimulus

Study of the planetary boundary layer by microwave radiometer, elastic lidar and Doppler lidar estimations in Southern Iberian Peninsula

The Planetary Boundary Layer (PBL) is a relevant part of the atmosphere with a variable extension that clearly plays an important role in fields like air quality or weather forecasting. Passive and active remote sensing systems have been widely applied to analyze PBL characteristics. The combination of different remote sensing techniques allows obtaining a complete picture on the PBL dynamic. In this study, we analyze the PBL using microwave radiometer, elastic lidar and Doppler lidar data. We use co-located data simultaneously gathered in the framework of SLOPE-I (Sierra Nevada Lidar aerOsol Profiling Experiment) campaign at Granada (Spain) during a 90- day period in summer 2016. Firstly, the PBL height (PBLH) obtained from microwave radiometer data is validated against PBLH provided by analyzing co-located radiosondes, showing a good agreement. In a second stage, active remote sensing systems are used for deriving the PBLH. Thus, an extended Kalman filter method is applied to data obtained by the elastic lidar while the vertical wind speed variance method is applied to the Doppler lidar. PBLH's derived by these approaches are compared to PBLH retrieved by the microwave radiometer. The results show a good agreement among these retrievals based on active remote sensing in most of the cases, although some discrepancies appear in instances of intense PBL changes (either growth and/or decrease)

Analyzing the turbulent planetary boundary layer by remote sensing systems: the Doppler wind lidar, aerosol elastic lidar and microwave radiometer

he planetary boundary layer (PBL) is the lowermost region of troposphere and is endowed with turbulent characteristics, which can have mechanical and/or thermodynamic origins. This behavior gives this layer great importance, mainly in studies about pollutant dispersion and weather forecasting. However, the instruments usually applied in studies of turbulence in the PBL have limitations in spatial resolution (anemometer towers) or temporal resolution (instrumentation aboard an aircraft). Ground-based remote sensing, both active and passive, offers an alternative for studying the PBL. In this study we show the capabilities of combining different remote sensing systems (microwave radiometer – MWR, Doppler lidar – DL – and elastic lidar – EL) for retrieving a detailed picture on the PBL turbulent features. The statistical moments of the high frequency distributions of the vertical wind velocity, derived from DL, and of the backscattered coefficient, derived from EL, are corrected by two methodologies, namely first lag correction and -2=3 law correction. The corrected profiles, obtained from DL data, present small differences when compared with the uncorrected profiles, showing the low influence of noise and the viability of the proposed methodology. Concerning EL, in addition to analyzing the influence of noise, we explore the use of different wavelengths that usually include EL systems operated in extended networks, like the European Aerosol Research Lidar Network (EARLINET),This work was supported by the Andalusia Regional Government through project P12-RNM-2409 and by the Spanish Agencia Estatal de Investigación (AEI) through projects CGL2016-81092-R and CGL2017-90884-REDT. We acknowledge the financial support by the European Union’s Horizon 2020 research and innovation program through project ACTRIS-2 (grant agreement no. 654109)

A pilot study of IL-1 inhibition by anakinra in acute gout

Monosodium urate crystals stimulate monocytes and macrophages to release IL-1β through the NALP3 component of the inflammasome. The effectiveness of IL-1 inhibition in hereditary autoinflammatory syndromes with mutations in the NALP3 protein suggested that IL-1 inhibition might also be effective in relieving the inflammatory manifestations of acute gout. The effectiveness of IL-1 inhibition was first evaluated in a mouse model of monosodium urate crystal-induced inflammation. IL-1 inhibition prevented peritoneal neutrophil accumulation but TNF blockade had no effect. Based on these findings, we performed a pilot, open-labeled study (trial registration number ISRCTN10862635) in 10 patients with gout who could not tolerate or had failed standard antiinflammatory therapies. All patients received 100 mg anakinra daily for 3 days. All 10 patients with acute gout responded rapidly to anakinra. No adverse effects were observed. IL-1 blockade appears to be an effective therapy for acute gouty arthritis. The clinical findings need to be confirmed in a controlled study

Highlights from the Pierre Auger Observatory

The Pierre Auger Observatory is the world's largest cosmic ray observatory. Our current exposure reaches nearly 40,000 km$^2$ str and provides us with an unprecedented quality data set. The performance and stability of the detectors and their enhancements are described. Data analyses have led to a number of major breakthroughs. Among these we discuss the energy spectrum and the searches for large-scale anisotropies. We present analyses of our X$_{max}$ data and show how it can be interpreted in terms of mass composition. We also describe some new analyses that extract mass sensitive parameters from the 100% duty cycle SD data. A coherent interpretation of all these recent results opens new directions. The consequences regarding the cosmic ray composition and the properties of UHECR sources are briefly discussed.Comment: 9 pages, 12 figures, talk given at the 33rd International Cosmic Ray Conference, Rio de Janeiro 201

Measurement of the Depth of Maximum of Extensive Air Showers above 10^18 eV

We describe the measurement of the depth of maximum, Xmax, of the longitudinal development of air showers induced by cosmic rays. Almost four thousand events above 10^18 eV observed by the fluorescence detector of the Pierre Auger Observatory in coincidence with at least one surface detector station are selected for the analysis. The average shower maximum was found to evolve with energy at a rate of (106 +35/-21) g/cm^2/decade below 10^(18.24 +/- 0.05) eV and (24 +/- 3) g/cm^2/decade above this energy. The measured shower-to-shower fluctuations decrease from about 55 to 26 g/cm^2. The interpretation of these results in terms of the cosmic ray mass composition is briefly discussed.Comment: Accepted for publication by PR

The Pierre Auger Observatory III: Other Astrophysical Observations

Astrophysical observations of ultra-high-energy cosmic rays with the Pierre Auger ObservatoryComment: Contributions to the 32nd International Cosmic Ray Conference, Beijing, China, August 201