20 research outputs found

    Does lumbar spinal degeneration begin with the anterior structures? A study of the observed epidemiology in a community-based population

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    <p>Abstract</p> <p>Background-</p> <p>Prior studies that have concluded that disk degeneration uniformly precedes facet degeneration have been based on convenience samples of individuals with low back pain. We conducted a study to examine whether the view that spinal degeneration begins with the anterior spinal structures is supported by epidemiologic observations of degeneration in a community-based population.</p> <p>Methods-</p> <p>361 participants from the Framingham Heart Study were included in this study. The prevalences of anterior vertebral structure degeneration (disk height loss) and posterior vertebral structure degeneration (facet joint osteoarthritis) were characterized by CT imaging. The cohort was divided into the structural subgroups of participants with 1) no degeneration, 2) isolated anterior degeneration (without posterior degeneration), 3) combined anterior and posterior degeneration, and 4) isolated posterior degeneration (without anterior structure degeneration). We determined the prevalence of each degeneration pattern by age group < 45, 45-54, 55-64, ≥65. In multivariate analyses we examined the association between disk height loss and the response variable of facet joint osteoarthritis, while adjusting for age, sex, BMI, and smoking.</p> <p>Results-</p> <p>As the prevalence of the no degeneration and isolated anterior degeneration patterns decreased with increasing age group, the prevalence of the combined anterior/posterior degeneration pattern increased. 22% of individuals demonstrated isolated posterior degeneration, without an increase in prevalence by age group. Isolated posterior degeneration was most common at the L5-S1 and L4-L5 spinal levels. In multivariate analyses, disk height loss was independently associated with facet joint osteoarthritis, as were increased age (years), female sex, and increased BMI (kg/m<sup>2</sup>), but not smoking.</p> <p>Conclusions-</p> <p>The observed epidemiology of lumbar spinal degeneration in the community-based population is consistent with an ordered progression beginning in the anterior structures, for the majority of individuals. However, some individuals demonstrate atypical patterns of degeneration, beginning in the posterior joints. Increased age and BMI, and female sex may be related to the occurrence of isolated posterior degeneration in these individuals.</p

    The provocative lumbar facet joint

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    Low back pain is the most common pain symptom experienced by American adults and is the second most common reason for primary care physician visits. There are many structures in the lumbar spine that can serve as pain generators and often the etiology of low back pain is multifactorial. However, the facet joint has been increasingly recognized as an important cause of low back pain. Facet joint pain can be diagnosed with local anesthetic blocks of the medial branches or of the facet joints themselves. Subsequent radiofrequency lesioning of the medial branches can provide more long-term pain relief. Despite some of the pitfalls associated with facet joint blocks, they have been shown to be valid, safe, and reliable as a diagnostic tool. Medial branch denervation has shown some promise for the sustained control of lumbar facet joint-mediated pain, but at this time, there is insufficient evidence that it is a wholly efficacious treatment option. Developing a universal algorithm for evaluating facet joint-mediated pain and standard procedural techniques may facilitate the performance of larger outcome studies. This review article provides an overview of the anatomy, pathophysiology, diagnosis, and treatment of facet joint-mediated pain

    Habitat manipulation to mitigate the impacts of invasive arthropod pests

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    Exotic invaders are some of the most serious insect pests of agricultural crops around the globe. Increasingly, the structure of landscape and habitat is recognized as having a major influence on both insect pests and their natural enemies. Habitat manipulation that aims at conserving natural enemies can potentially contribute to safer and more effective control of invasive pests. In this paper, we review habitat management experiments, published during the last 10 years, which have aimed to improve biological control of invasive pests. We then discuss during what conditions habitat management to conserve natural enemies is likely to be effective and how the likelihood of success of such methods can be improved. We finally suggest an ecologically driven research agenda for habitat management programmes.We acknowledge the following funding sources: the Tertiary Education Commission, New Zealand, through the Bio-Protection Research Centre, Lincoln University, New Zealand (Mattias Jonsson and Steve Wratten), the New Zealand Foundation for Research, Science and Technology (FRST); project LINX0303 (Steve Wratten, Ross Cullen, Jean Tompkins), Lincoln University, New Zealand, for a Post-graduate Scholarship to Jean Tompkins, USDA CSREES Risk Avoidance and Mitigation Program (2004-51101-02210), USDA NC SARE Project (LCN 04-249), USDA CSREES Arthropod and Nematode Biology (2004-35302-14811), North Central Regional IPM, NSF-LTER at Kellogg Biological Station (NSF DEB 0423627), and the Michigan Agricultural Experiment Station (Doug Landis)

    Biological activity and specificity of Miridae-induced plant volatiles

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    [EN] The ability of zoophytophagous predators to produce defensive plant responses due to their phytophagous behavior has been recently demonstrated. In the case of tomatoes, the mirids Nesidiocoris tenuis and Macrolophus pygmaeus are able to attract or repel pests and/or natural enemies in different ways. Nevertheless, the herbivore-induced plant volatiles (HIPVs) released by the phytophagy of both mirids, which are responsible for these behaviors, are unknown. In this work, the HIPVs produced by the plant feeding of N. tenuis and M. pygmaeus were characterized. In addition, the role of each HIPV in the repellence or attraction of two tomato pests, Bemisia tabaci and Tuta absoluta, and of the natural enemy Encarsia formosa was evaluated. Six green leaf volatiles (GLVs) plus methyl salicylate and octyl acetate clearly stood out as major differential peaks on the chromatogram in a directed analysis. The six GLV and methyl salicylate were repellent for B. tabaci and attractive to E. formosa, whereas they showed no effect on T. absoluta. Octyl acetate, which was significantly present only in the M. pygmaeus-punctured plants, was significantly attractive to T. absoluta, repellent to E. formosa and indifferent to B. tabaci. Unlike the remaining HIPVs, octyl acetate was emitted directly by M. pygmaeus and not by the plant. Our results showed that mirid herbivory could modulate the pest and natural plant enemy locations, since tomato plants release a blend of volatiles in response to this activity. These results could serve as a basis for future development of plant protection.The research leading to these results was funded by the Spanish Ministry of Economy and Competitiveness (AGL2014-55616-C3). The authors thank Javier Calvo (KOPPERT BS) for the supply of insects, and Sandra Fresquet and Virginia Pedroche for their technical assistance. 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