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

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

Polymer Light‐Emitting Transistors With Charge‐Carrier Mobilities Exceeding 1 cm2 V−1 s−1

The vast majority of conjugated polymer-based light emitting field-effect transistors (LEFETs) are characterized by low charge carrier mobilities typically in the range 10-5 to 10-3 cm2 V-1 s-1 range. Fast carrier transport is a highly desirable characteristic for high frequency LEFET operation and, potentially, for use in electrically-pumped lasers. Unfortunately, high mobility organic semiconductors are often characterised by strong intermolecular π-π interactions that reduce luminescence. Development of new materials and/or device concepts that overcome this hurdle are therefore required. We report single organic semiconductor layer, light-emitting transistors that combine the highest hole mobilities reported to date for any polymer-based LEFET, with encouraging light emission characteristics. We achieve this in a single polymer layer LEFET, which was further enhanced through the use of a small-molecule/conjugated polymer blend system that possesses a film microstructure which supports enhanced charge carrier mobility (3.2 cm2 V-1 s-1) and promising light emission characteristics (1600 cd m-2) as compared to polymer-only based LEFETs. This simple approach represents an attractive strategy to further advance the performance of solution-processed LEFETs

Impact of purification on physicochemical, surface and functional properties of okra biopolymer

© 2017 Elsevier Ltd The functionality of plant-resourced biopolymers depends on their physicochemical properties. In addition, the extraction protocol and further processing conditions can significantly affect the effectiveness of biopolymer in diverse industrial applications. Therefore, the objective of this study was to investigate the impact of purification on chemical composition, molecular arrangement, solubility, swelling, erosion, wettability, quantitative wetting kinetics, surface energy and three-dimensional (3D) surface texture properties of okra biopolymer and its compacted form. FTIR and XRD results confirmed that the purification process had no effect on the molecular structural arrangement. The highest purity grade (bi-purified okra biopolymer) had the highest sugar content, solubility, matrix tablet swelling, wettability and surface energy, although the surface porosity and roughness of matrix tablet were low. Okra biopolymer showed pH-dependent solubility and the maximum solubility was achieved at pH 7.4. The mechanism of swelling of less-purified matrices was anomalous, where the rate of water diffusion and polymer relaxation was of the same magnitude, whereas bi-purified matrices showed diffusion-controlled swelling. Wetting was absorption-controlled and the bi-purified biopolymer had a high degree of wetting and surface energy. The extraction method, therefore, has a major influence on the properties and the subsequent drug delivery, biotechnology and food science applications for the biopolymer

Probing the Impact of Porosity on Swelling Kinetics of Hydrophilic Matrices

The aim of the present investigation was to understand the swelling behaviour of HPMC and PEO-based matrices and to evaluate the impact of porosity on the swelling kinetics. It was noticed that the HPMC has higher swelling rates but both undergo diffusion oriented swelling mechanism. It could also the concluded that the porosity has a marked influence in the development of gel layer on the surface of these matrices

Search for a W' boson decaying to a bottom quark and a top quark in pp collisions at sqrt(s) = 7 TeV

Results are presented from a search for a W' boson using a dataset corresponding to 5.0 inverse femtobarns of integrated luminosity collected during 2011 by the CMS experiment at the LHC in pp collisions at sqrt(s)=7 TeV. The W' boson is modeled as a heavy W boson, but different scenarios for the couplings to fermions are considered, involving both left-handed and right-handed chiral projections of the fermions, as well as an arbitrary mixture of the two. The search is performed in the decay channel W' to t b, leading to a final state signature with a single lepton (e, mu), missing transverse energy, and jets, at least one of which is tagged as a b-jet. A W' boson that couples to fermions with the same coupling constant as the W, but to the right-handed rather than left-handed chiral projections, is excluded for masses below 1.85 TeV at the 95% confidence level. For the first time using LHC data, constraints on the W' gauge coupling for a set of left- and right-handed coupling combinations have been placed. These results represent a significant improvement over previously published limits.Comment: Submitted to Physics Letters B. Replaced with version publishe

Search for the standard model Higgs boson decaying into two photons in pp collisions at sqrt(s)=7 TeV

A search for a Higgs boson decaying into two photons is described. The analysis is performed using a dataset recorded by the CMS experiment at the LHC from pp collisions at a centre-of-mass energy of 7 TeV, which corresponds to an integrated luminosity of 4.8 inverse femtobarns. Limits are set on the cross section of the standard model Higgs boson decaying to two photons. The expected exclusion limit at 95% confidence level is between 1.4 and 2.4 times the standard model cross section in the mass range between 110 and 150 GeV. The analysis of the data excludes, at 95% confidence level, the standard model Higgs boson decaying into two photons in the mass range 128 to 132 GeV. The largest excess of events above the expected standard model background is observed for a Higgs boson mass hypothesis of 124 GeV with a local significance of 3.1 sigma. The global significance of observing an excess with a local significance greater than 3.1 sigma anywhere in the search range 110-150 GeV is estimated to be 1.8 sigma. More data are required to ascertain the origin of this excess.Comment: Submitted to Physics Letters

Measurement of the Lambda(b) cross section and the anti-Lambda(b) to Lambda(b) ratio with Lambda(b) to J/Psi Lambda decays in pp collisions at sqrt(s) = 7 TeV

The Lambda(b) differential production cross section and the cross section ratio anti-Lambda(b)/Lambda(b) are measured as functions of transverse momentum pt(Lambda(b)) and rapidity abs(y(Lambda(b))) in pp collisions at sqrt(s) = 7 TeV using data collected by the CMS experiment at the LHC. The measurements are based on Lambda(b) decays reconstructed in the exclusive final state J/Psi Lambda, with the subsequent decays J/Psi to an opposite-sign muon pair and Lambda to proton pion, using a data sample corresponding to an integrated luminosity of 1.9 inverse femtobarns. The product of the cross section times the branching ratio for Lambda(b) to J/Psi Lambda versus pt(Lambda(b)) falls faster than that of b mesons. The measured value of the cross section times the branching ratio for pt(Lambda(b)) > 10 GeV and abs(y(Lambda(b))) < 2.0 is 1.06 +/- 0.06 +/- 0.12 nb, and the integrated cross section ratio for anti-Lambda(b)/Lambda(b) is 1.02 +/- 0.07 +/- 0.09, where the uncertainties are statistical and systematic, respectively.Comment: Submitted to Physics Letters

Search for new physics in events with opposite-sign leptons, jets, and missing transverse energy in pp collisions at sqrt(s) = 7 TeV

A search is presented for physics beyond the standard model (BSM) in final states with a pair of opposite-sign isolated leptons accompanied by jets and missing transverse energy. The search uses LHC data recorded at a center-of-mass energy sqrt(s) = 7 TeV with the CMS detector, corresponding to an integrated luminosity of approximately 5 inverse femtobarns. Two complementary search strategies are employed. The first probes models with a specific dilepton production mechanism that leads to a characteristic kinematic edge in the dilepton mass distribution. The second strategy probes models of dilepton production with heavy, colored objects that decay to final states including invisible particles, leading to very large hadronic activity and missing transverse energy. No evidence for an event yield in excess of the standard model expectations is found. Upper limits on the BSM contributions to the signal regions are deduced from the results, which are used to exclude a region of the parameter space of the constrained minimal supersymmetric extension of the standard model. Additional information related to detector efficiencies and response is provided to allow testing specific models of BSM physics not considered in this paper.Comment: Replaced with published version. Added journal reference and DO

Measurement of isolated photon production in pp and PbPb collisions at sqrt(sNN) = 2.76 TeV

Isolated photon production is measured in proton-proton and lead-lead collisions at nucleon-nucleon centre-of-mass energies of 2.76 TeV in the pseudorapidity range |eta|<1.44 and transverse energies ET between 20 and 80 GeV with the CMS detector at the LHC. The measured ET spectra are found to be in good agreement with next-to-leading-order perturbative QCD predictions. The ratio of PbPb to pp isolated photon ET-differential yields, scaled by the number of incoherent nucleon-nucleon collisions, is consistent with unity for all PbPb reaction centralities.Comment: Submitted to Physics Letters