Vitamin D Levels in Relation to Low Back Pain During Adolescence

This study aimed to investigate the association between 25-hydroxyvitamin D (25(OH)D) level and low back pain (LBP) among adolescents while adjusting for potential confounders pertinent to this age group including the weight of school bags, BMI and physical activity. A cross-sectional study was conducted on 760 randomly selected adolescents in middle schools. Data on LBP and the risk factors for LBP were collected from parents by a self-administered questionnaire and from adolescents by face-to-face interview. Blood samples were tested in an accredited laboratory; and 25(OH)D was measured using liquid chromatography-tandem MS. The lifetime prevalence and the 6-month prevalence of LBP were 32.28 (95 % CI 28.97, 35.73) % and 21.26 (95 % CI 18.40, 24.33) %, respectively. There was no difference in the geometric mean of 25(OH)D between those with and without LBP in the past 6 months (28.50 nmol/l and 30.82 nmol/l, respectively; P = 0.122). There was no association between 25(OH)D and LBP in the univariable or multivariable analysis whether 25(OH)D fitted as a continuous or as a categorical variable. We found no association between vitamin D level and LBP in adolescents in an area with high prevalence of vitamin D deficiency. Although it is important to have sufficient vitamin D levels during adolescence for several other health benefits, we concluded that vitamin D is not a major determinant for LBP among adolescents in our setting

A compact photoreactor for automated H2 photoproduction: Revisiting the (Pd, Pt, Au)/TiO2 (P25) Schottky junctions

The configuration and geometry of chemical reactors underpins the accuracy of performance evaluation for photocatalytic materials and, accordingly, the development and validation of thermodynamic and kinetic model reactions. The lack of accurate photonic, mass, and heat transport profiles for photochemical reactors hinder standardization, scale-up, and ultimately comparison between different experiments. This work proposes two contributions at the interface between engineering of chemical process and materials science: (A) an automated compact stainless-steel photoreactor with 40 cm3 and 65 cm2 of volume and area, respectively, for hydrogen photoproduction as a model reaction and (B) the synthesis, characterization, and performance of TiO2 Schottky junctions, using Pd, Pt, or Au nanoparticles (ca. 0.5, 1, 2 wt% loadings each) to validate the operation of the reactor. A photonic profile methodology is implemented to the studied reactor to obtain the local light absorption profile, opening up for evaluation of the local quantum yield calculation for the selected materials. A combination of transmission electron microscopy, (X-ray/ultraviolet) photoelectron/electron, energy loss/infrared spectroscopies, X-ray scattering, inductively coupled plasma atomic emission spectroscopy, and ultraviolet–visible spectrophotometry is employed to determine the distinctive surface and bulk properties to build structure–function correlations. The (Pd, Pt, Au)/TiO2 Schottky junction exhibits H2 production rates slightly higher than previous studies, with quantum yields almost 2-fold higher than reported values. These results, demonstrate that the proposed novel geometry of the photoreactor improves the photonic, heat, and mass profiles. An in-depth analysis of the Au plasmon was investigated coupling electron energy loss spectroscopy, UV–vis, and transmission electron microscope, resulting in insightful information about the Au NP mode at the TiO2 interface

COVID-19 and Sick Leave: An Analysis of the Ibermutua Cohort of Over 1,651,305 Spanish Workers in the First Trimester of 2020

Objectives: The worldwide SARS-COV2 pandemic has impacted the health of workers and companies. The aim is to quantify it according to sick leave. Methods: Using ICD-9 codes, we analyzed Ibermutua records of all sick leaves during the first trimester of 2020, compared to during the same months of 2017, 2018, and 2019. We stratified the analysis by causes, patient sex, activity sectors, and regional data. All sick leaves were adjusted by the number of Ibermutua-affiliated persons in each period. Results: In March 2020, there was an unprecedented (116%) increase in total sick leaves, mainly due to infectious and respiratory diseases. Men and women were equally affected. All activity sectors were impacted, with the highest increase (457%) observed among health-related workers, especially due to contagious disease. The incidences of sick leaves were heterogeneous among different regions. Cost-analysis of sick leaves during the first trimester of 2020 compared with in previous years showed 40.3% increment (mean 2,813 vs. 2,005 euro per 100 affiliated workers). Conclusions: The SARS-COV2 pandemic is having a huge impact on workers' health, as shown by data regarding sick leaves in March 2020. This is associated with greater economic burden for companies, both due to the cost associated with sick leaves and the losses in productivity due to confinement

Response to growth hormone in patients with RNPC3 mutations

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Pain and moderate to vigorous physical activity in adolescence : An international population-based survey

Publisher Copyright: © 2015 American Academy of Pain Medicine. All rights reserved.Objective. To evaluate whether individual types of pain (headache, stomach-ache, and backache) or multiple pains affect the odds of young people achieving the recommended 60 minutes of moderate to vigorous physical activity (MVPA) per day in a large representative sample. Design. Multicenter cross-sectional survey. Setting. Twenty-eight countries across Europe and North America. Subjects. Adolescents (N 5 242,103). Methods. An analysis of data collected in two waves (2001/02 and 2005/06) of the health behavior in school-aged children (HBSC) study was performed. Survey questions included the HBSC symptoms checklist and the amount of regular physical activity. Multilevel logistic regression was used to account for clustering effect of MVPA within countries. Models investigated the relationship between pain and physical activity, adjusted for the HBSC study year. Six models were conducted separately for gender and age-group (11, 13, and 15 years) strata. Results. In general, the presence of pain was associated with reduced physical activity. Headache alone was associated with reduced physical activity in all six strata (odd ratios 0.77-0.84), stomach-ache alone in five strata (0.77-0.92), and backache alone in four strata (0.86-0.96). In 11- and 13-year-old girls, headache, stomach-ache, and backache, individually and in combination, were associated with decreased odds of being physically active (odds ratios ranging from 0.73 to 0.91). Within the other four age and gender strata, the relationship was less consistent. Conclusion. Pain is associated with reduced physical activity in adolescents but this association varies according to gender, age, and the type of pain experienced.publishersversionPeer reviewe

Risk factors for episodes of back pain in emerging adults. A systematic review

BACKGROUND AND OBJECTIVE: The transition from adolescence to adulthood is a sensitive period in life for health outcomes, including back pain. The objective was to synthesize evidence on risk factors for new episodes of back pain in emerging adults (18-29 years). METHODS: The protocol was registered in PROSPERO (CRD42016046635). We searched Medline; EMBASE; AMED and other databases up to September 2018 for prospective cohort studies that estimated the association between risk factor(s) and self-reported back pain. Risk factors could be measured before or during the age range 18-29 years, and back pain could be measured during or after this age range, with at least 12 months between assessments. Risk factors assessed in ≥3 studies were summarized. Risk of bias was assessed using a 6-item checklist. RESULTS: Forty-nine studies were included with more than 150 different risk factors studied. Nine studies had low risk of bias, 26 had moderate, and 14 had high risk of bias. Age, sex, height, body mass index (BMI), smoking, physical activity level, a history of back pain, job satisfaction and structural imaging findings were investigated in 3 or more studies. History of back pain was the only risk factor consistently associated with back pain after adjustment (9 studies). CONCLUSION: There is moderate quality evidence that a history of back pain is a risk factor for back pain. There are inconsistent associations for age, sex, height, BMI, smoking, and activity level. No associations were found between job satisfaction and structural imaging findings and back pain. This article is protected by copyright. All rights reserved