Anatomo-functional correspondence in the superior temporal sulcus

The superior temporal sulcus (STS) is an intriguing region both for its complex anatomy and for the multiple functions that it hosts. Unfortunately, most studies explored either the functional organization or the anatomy of the STS only. Here, we link these two aspects by investigating anatomo-functional correspondences between the voice-sensitive cortex (Temporal Voice Areas) and the STS depth. To do so, anatomical and functional scans of 116 subjects were processed such as to generate individual surface maps on which both depth and functional voice activity can be analyzed. Individual depth profiles of manually drawn STS and functional profiles from a voice localizer (voice > non-voice) maps were extracted and compared to assess anatomo-functional correspondences. Three major results were obtained: first, the STS exhibits a highly significant rightward depth asymmetry in its middle part. Second, there is an anatomo-functional correspondence between the location of the voice-sensitive peak and the deepest point inside this asymmetrical region bilaterally. Finally, we showed that this correspondence was independent of the gender and, using a machine learning approach, that it existed at the individual level. These findings offer new perspectives for the understanding of anatomo-functional correspondences in this complex cortical region

Open-Source ANSS Quake Monitoring System Software

ANSS stands for the Advanced National Seismic System of the U.S.A., and ANSS Quake Monitoring System (AQMS) is the earthquake management system (EMS) that most of its member regional seismic networks (RSNs) use. AQMS is based on Earthworm, but instead of storing files on disk, it uses a relational database with replication capability to store pick, amplitude, waveform, and event parameters. The replicated database and other features of AQMS make it a fully redundant system. A graphical user interface written in Java, Jiggle, is used to review automatically generated picks and event solutions, relocate events, and recalculate magnitudes. Add‐on mechanisms to produce various postearthquake products such as ShakeMaps and focal mechanisms are available as well. It provides a configurable automatic alarming and notification system. The Pacific Northwest Seismic Network, one of the Tier 1 ANSS RSNs, has modified AQMS to be compatible with a freely available, capable, open‐source database system, PostgreSQL, and is running this version successfully in production. The AQMS Software Working Group has moved the software from a subversion repository server hosted at the California Institute of Technology to a public repository at gitlab.com. The drawback of AQMS as a whole is that it is complex to fully configure and comprehend. Nevertheless, the fact that it is very capable, documented, and now free to use, might make it an attractive EMS choice for many seismic networks

Employment and occupational outcomes of workers with musculoskeletal pain in a French region

OBJECTIVES: To study the employment and occupational outcomes of workers who were diagnosed with upper limb musculoskeletal disorders (UL-MSDs) or had complained of upper limb musculoskeletal pain a few years before compared with workers who had no upper limb pain. METHODS: In 2002-2005, an epidemiological surveillance system was set up. Occupational physicians examined 3710 randomly selected workers. It focused on six UL-MSDs: rotator cuff syndrome, lateral epicondylitis, flexor-extensor peritendinitis of the hands and fingers, de Quervain\u27s disease, carpal tunnel syndrome and ulnar tunnel syndrome. Three groups were constituted: a \u27UL-MSD\u27 group (workers with a clinically diagnosed UL-MSD at baseline, 13% of the cohort); a \u27PAIN\u27 group (workers with pain in the previous 7 days at baseline and without any clinically diagnosed form, 38%); and a \u27HEALTHY\u27 group (workers with no disorder or upper limb pain in the previous 7 days, 49%). They completed a questionnaire between 2007 and 2009. RESULTS: A total of 2332 responded. Fewer subjects were still in work in the \u27UL-MSD\u27 group (79.3%) than in the \u27PAIN\u27 (85.9%) and \u27HEALTHY\u27 (90.4%) groups, the difference remaining significant after adjusting for gender, age, occupational category, type of company and comorbidities. Of the subjects still in work, 24% had changed their work station in the same company in the \u27PAIN\u27 group compared with 19% in the \u27HEALTHY\u27 group and 21% in the \u27UL-MSD\u27 group. CONCLUSIONS: This study showed the impact of musculoskeletal pain on employment outcome and the difficulty of keeping workers with musculoskeletal problems at work

Devenir professionnel de salariés des Pays de la Loire souffrant de troubles musculo-squelettiques

The objective was to study the employment and occupational outcomes of workers who were diagnosed with upper limb musculoskeletal disorders (UL-MSDs) or had complained of upper limb musculoskeletal pain a few years before, compared to workers without upper limb pain. In 2002-2005, 83 occupational physicians examined 3,710 randomly selected workers. Three groups were constituted between 2007 and 2009: a “UL-MSD” group (workers with a clinically diagnosed UL-MSD); a “MS PAIN” group (workers with pain in the previous seven days and without any clinically diagnosed form); and a “HEALTHY” group (workers with no disorder or upper limb pain). A total of 2,287 responded to a questionnaire. Fewer subjects were still working in the “UL-MSD” group (79.3%) than in the “MS PAIN” (85.9%) and “HEALTHY” (90.4%) groups. Among the subjects still working, 24% had changed their position in the same company in the “MS PAIN” group, compared to 21% in the “UL-MSD” group, and 19% in the “HEALTHY” group. This study showed the impact of UL-MSDs on employment outcome and of musculoskeletal pain on occupational outcome

Semi-free forearm flap for pharyngeal-esophageal reconstruction after radiation therapy

AbstractReconstruction of the pharynx and upper esophagus uses various procedures, including pedicled or free flap. Pharyngoplasty with free forearm flap provides excellent functional results. In radiation-related pharyngeal stenosis, recipient vascularization is often poor, especially in the venous system. The authors describe pharyngeal reconstruction with semi-free forearm flap, pedicled on the cephalic vein, to minimize the risk of venous thrombosis, which is the main factor of free forearm flap necrosis. Taking the case of a laryngectomy with complete pharyngeal stenosis after radiation therapy and iterative neck surgery, the technique of pharyngeal-esophageal reconstruction by semi-free forearm flap is described in a context of impaired vascularization

Timing of Hepatic Artery Reperfusion and Biliary Strictures in Liver Transplantation

During orthotopic liver transplantation (OLT), biliary tract perfusion occurs with hepatic artery reperfusion (HARP), commonly performed after the portal vein reperfusion (PVRP). We examined whether the average time interval between PVRP and HARP impacted on postoperative biliary strictures occurrence. Patients undergoing OLT from 2007 to 2009 were included if they were ≥18 years old, had survived 3 months postoperatively, and had data for PVRP and HARP. Patients receiving allografts from DCD donors were excluded. Patients were followed for 6 months post-OLT. Seventy-five patients met the study inclusion criteria. Of these, 10 patients had a biliary stricture. There was no statistical difference between those with and without biliary stricture in age, gender, etiology, MELD score, graft survival, and time interval between PVRP and HARP. Ninety percent of patients with biliary stricture had a PVRP-HARP time interval >30 minutes, as opposed to 77% of patients without biliary stricture. However, this was not statistically significant. The cold ischemia time was significantly different between the two groups. Time interval for HARP after PVRP did not appear to affect the development of biliary strictures. However, 30 minutes may be suggested as a critical time after which there is an increase in biliary stricture occurrence

Effects of Individual and Work-related Factors on Incidence of Shoulder Pain in a Large Working Population

Objectives: The aim of this study was to assess the effects of individual and work-related factors on the incidence of shoulder pain in a large French working population. Methods: A total of 3,710 workers of a French region were randomly included in a cross-sectional study between 2002 and 2005. They completed a self-administered questionnaire about musculoskeletal symptoms, individual factors and exposure to work constraints. In 2007, 2,332 responded to a follow-up questionnaire. The Nordic questionnaire was used both times to assess shoulder pain during the preceding 7 days. Associations between incident shoulder pain and individual and work-related factors at baseline were studied by multivariate logistic regression for both genders. Results: A total of 946 men and 709 women without shoulder pain at baseline were eligible for the analyses. At follow-up, 105 men (11.1%) and 145 women (20.5%) reported shoulder pain. For men, age (OR 3.3, 95% CI, 1.7–6.5 for ≥50 yr), working with arms above the shoulder (1.5; 1.0–2.3) and high perceived physical exertion (1.6; 1.0–2.5) increased the risk of incident shoulder pain. For women, the factors associated with incident shoulder pain were age (2.9; 1.5–5.8 for ≥50 yr), obesity (2.5; 1.4–4.5), temporary employment (2.1; 1.1–3.7), high perceived physical exertion (2.2; 1.4–3.5) and low decision latitude (1.6; 1.0–2.3). Conclusion: Age was the strongest predictor of incident shoulder pain in both genders. BMI and biomechanical and psychosocial factors were also identified as risk factors, whereas no factor related to work organization remained in the final models

Low Frequency Tilt Seismology with a Precision Ground Rotation Sensor

We describe measurements of the rotational component of teleseismic surface waves using an inertial high-precision ground-rotation-sensor installed at the LIGO Hanford Observatory (LHO). The sensor has a noise floor of 0.4 nrad$/ \sqrt{\rm Hz}$ at 50 mHz and a translational coupling of less than 1 $\mu$rad/m enabling translation-free measurement of small rotations. We present observations of the rotational motion from Rayleigh waves of six teleseismic events from varied locations and with magnitudes ranging from M6.7 to M7.9. These events were used to estimate phase dispersion curves which shows agreement with a similar analysis done with an array of three STS-2 seismometers also located at LHO

Working in temporary employment and exposure to musculoskeletal constraints

BACKGROUND: In recent years, temporary work (TW) has increased in European countries due to the greater uncertainty in the economy.AIMS: To compare the prevalence of non-specific musculoskeletal symptoms of the upper extremities (UEMSDs) and their main risk factors in blue-collar workers employed through temporary agencies (TW) and in those in permanent employment (PE). METHODS: UEMSDs occurring during the preceding 7 days were assessed using a Nordic questionnaire completed by 1493 blue-collar workers randomly included in a surveillance programme for UEMSDs (171 in TW and 1322 in PE) in a large French region. Personal factors and work-related risk factors for UEMSDs were assessed by self-administered questionnaires. RESULTS: The prevalence of UEMSDs during the preceding 7 days did not significantly differ between workers in TW or PE. However, after adjustment for age and gender, TW had a higher risk of symptoms of the wrist/hand region (OR = 1.6, 95% CI 1.04-2.6). TW was characterized by higher exposure to paced work (OR = 2.0, 95% CI 1.4-3.0), repetitive work (OR = 2.3, 95% CI 1.6-3.4), awkward postures of the wrist (OR = 1.6, 95% CI 1.2-2.4) and intensive use of vibrating hand tools (OR = 1.7, 95% CI 1.1-2.3). Workers in TW suffered from a lack of autonomy (OR = 2.5, 95% CI 1.7-3.6) and skill discretion at work (OR = 2.0, 95% CI 1.3-3.1) more frequently, but there was no difference in relation to psychological demands of the task or social support. CONCLUSIONS: Temporary workers were more frequently exposed to working time constraints, repetitive work and biomechanical constraints of the wrist/hand region when compared to permanent workers and may represent a subpopulation at particularly high risk of UEMSDs

Evolution of psychosocial factors at work in a French region

Background : Psychosocial factors at work (PFW) can be defined as all non-physicochemical occupational risks. Several epidemiological models have been proposed to measure PFW, but one of the most widely used is Karasek’s model. Aims : To determine whether psychosocial factors, evaluated by Karasek’s questionnaire, had increased in a cohort of workers. Methods : A random sample of workers in the Pays de la Loire region of France, who could be considered representative of the region’s population of salaried workers, filled in a self-administered questionnaire, including Karasek’s self-administered questionnaire, in 2002–05 and 2007–09. Karasek’s questionnaire can be used to study three psychosocial dimensions (psychological demand, decision latitude and social support in the workplace) in workers in order to define two high-risk situations for their health: ‘Job Strain’ and ‘Iso Strain’. Changes in job strain and iso strain among workers were studied according to the workers’ sociodemographic characteristics and their working conditions. Results : In this sample of 2049 workers, the proportion with iso strain increased between the two periods from 12 to 16%, P < 0.001, mainly among manual workers. Deterioration of Karasek indicators was mainly explained by an increase of the ‘low social support’ dimension (38 versus 49%, P < 0.001). Working conditions such as temporary employment of colleagues and high perceived physical exertion were associated with higher PFW. Conclusions : This study, based on a quantitative and collective model, showed deterioration of working team environments and increased risk for individual mental health in this cohort of French workers in recent years