Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial

Objective To evaluate the effectiveness of treatment with collar or physiotherapy compared with a wait and see policy in recent onset cervical radiculopathy

Corporate social responsibility and financial performance: A non-linear and disaggregated approach

The present paper examines the relationship between Corporate Social Performance (CSP) and Corporate Financial Performance (CFP), using both accounting-based (Return on Assets and Return on Capital) and market-based (Excess Stock Returns) performance indicators. We use Bloomberg's Environmental Social Governance (ESG) Disclosure score covering the S&P500 firms in the period 2007–2011 which allows for the examination of both linear and nonlinear relationships to be considered. The results of the linear model suggest that there is a significant negative relationship between CSP and Return on Capital. However, the non linear models provide evidence of a U-shaped relationship between CSP and the accounting-based measures of CFP, suggesting that in the longer run CSP effects are positive. Most prominent among our results is that fact that by disentangling the ESG Disclosure score into its environmental, social and governance sub-components, we find that a U-shaped relationship exists only between the governance sub-component and CFP. A straightforward implication of our findings suggests that in order for CSR to serve the interests of the shareholders, a long-run planning and considerable resources should be dedicated at this direction, given that CSR expenditure pays off only after a threshold of CSP has been reached. Furthermore, the fact that governance is the key driver affecting the CSP-CFP relationship suggests that CSR investments should be directed to this component

Seismic Vulnerability of Heritage Churches in Québec: the Néo-Roman Typology

Several seismic events have demonstrated the vulnerability of masonry churches. The long seismic history of the Italian territory has provided materials to observe and to study the structural performance of churches. Since the 1976 Friuli earthquake many studies have contributed to the definition of specific damage and vulnerability assessment methods for churches, based on the identification of macro-elements and kinematic mechanisms. In this context, the paper presents the application of a vulnerability assessment methodology developed and currently applied in Italy to a case study representative of the néo-roman church typology in Montreal, Québec. The study is part of a collaborative project between Politecnico di Milano and École de Technologie Supérieure of Montreal. The relevance of such a study derives from the moderate seismicity of Montreal associated to a high density of churches. Starting from a previous inventory of 108 churches in Montreal Island, the Néo-roman church typology was selected to be investigated. Specificities of this typology are the position of the bell tower in the middle of the façade and the interaction between the timber structure and masonry walls. This combination between the façade and bell tower macro-elements requires to reconsider the mechanisms associated to these elements in the original reference method. A detailed survey of the roof and bell tower timber structures of a néo-roman church was done, and a three-dimensional numerical model was developed for a better understanding of this type of structure. Modal analysis of a global model was then carried out and the first results of the modal shapes discussed

Quantification of the spread of Salmonella and the effect of 2 feed additives

The aim of this experiment was to quantify the spread of Salmonella Typhimurium in weaned piglets by calculating R0 values. In addition, the effect of 2 feed additives, AROMABIOTIC“ and Shiitake mushroom, on the spread of Salmonella Typhimurium was evaluated. Fifty-nine piglets were allocated to 4 groups: AROMABIOTIC“ (A, n=16), Shiitake mushroom (B, n=16), positive (C, n=16) and negative controls (D, n=11). Half of the piglets of group A, B and C were experimentally inoculated with Salmonella Typhimurium, other piglets were used as susceptibles. Based on Salmonella isolation in faecal swabs, R0 values (95% C.I.) were 4.26 (1.40-34.69), 1.83 (0.86-9.38) and 4.29 (1.09-13.71) for group A, B and C, respectively. None of the measured parameters did indicate significant differences between the groups. Mortality rate was high in all 4 groups, what makes it necessary to repeat the experiment

Effectiveness of 3D-printed orthoses for traumatic and chronic hand conditions: A scoping review

Background In the field of orthotics, the use of three-dimensional (3D) technology as an alternative to the conventional production process of orthoses is growing. Purpose This scoping review aimed to systematically map and summarize studies assessing the effectiveness of 3D-printed orthoses for traumatic and chronic hand conditions, and to identify knowledge gaps. Methods The Cochrane Library, PubMed, EMBASE, CINAHL, Web of Science, IEEE, and PEDro were searched for studies of any type of 3D-printed orthoses for traumatic and chronic hand conditions. Any outcome related to the effectiveness of 3D-printed orthoses was considered. Two reviewers selected eligible studies, charted data on study characteristics by impairment type, and critically appraised the studies, except for case reports/series. Results Seventeen studies were included: Four randomized controlled trials, four uncontrolled trials, four case series and five case reports. Only three studies had a sample size >20. Impairments described were forearm fractures (n = 5), spasticity (n = 5), muscle weakness (n = 4), joint contractures (n = 2) and pain (n = 1). Four poor to fair quality studies on forearm fractures supported the effectiveness of 3D-printed orthoses on hand function, functionality, and satisfaction. One good quality study on spasticity demonstrated the effectiveness of 3D-printed orthoses on hand function. One poor quality pain study reported limited positive effects on satisfaction. Studies on muscle weakness and joint contractures showed no benefits. Conclusion Current literature addressing the effectiveness of 3D-printed orthoses for traumatic and chronic hand conditions consists primarily of small and poor methodological quality studies. There is a need for well-designed controlled trials including patient-related outcomes, production time and cost analyses