Chronic pain associated with the Chikungunya Fever: long lasting burden of an acute illness

Abstract Background Chikungunya virus (CHIKV) is responsible for major epidemics worldwide. Autochthonous cases were recently reported in several European countries. Acute infection is thought to be monophasic. However reports on chronic pain related to CHIKV infection have been made. In particular, the fact that many of these patients do not respond well to usual analgesics suggests that the nature of chronic pain may be not only nociceptive but also neuropathic. Neuropathic pain syndromes require specific treatment and the identification of neuropathic characteristics (NC) in a pain syndrome is a major step towards pain control. Methods We carried out a cross-sectional study at the end of the major two-wave outbreak lasting 17 months in Réunion Island. We assessed pain in 106 patients seeking general practitioners with confirmed infection with the CHIK virus, and evaluated its impact on quality of life (QoL). Results The mean intensity of pain on the visual-analogical scale (VAS) was 5.8 ± 2.1, and its mean duration was 89 ± 2 days. Fifty-six patients fulfilled the definition of chronic pain. Pain had NC in 18.9% according to the DN4 questionnaire. Conversely, about two thirds (65%) of patients with NC had chronic pain. The average pain intensity was similar between patients with or without NC (6.0 ± 1.7 vs 6.1 ± 2.0). However, the total score of the Short Form-McGill Pain Questionnaire (SF-MPQ)(15.5 ± 5.2 vs 11.6 ± 5.2; p < 0.01) and both the affective (18.8 ± 6.2 vs 13.4 ± 6.7; p < 0.01) and sensory subscores (34.3 ± 10.7 vs 25.0 ± 9.9; p < 0.01) were significantly higher in patients with NC. The mean pain interference in life activities calculated from the Brief Pain Inventory (BPI) was significantly higher in patients with chronic pain than in patients without it (6.8 ± 1.9 vs 5.9 ± 1.9, p < 0.05). This score was also significantly higher in patients with NC than in those without such a feature (7.2 ± 1.5 vs 6.1 ± 1.9, p < 0.05). Conclusions There exists a specific chronic pain condition associated to CHIKV. Pain with NC seems to be associated with more aggressive clinical picture, more intense impact in QoL and more challenging pharmacological treatment.

«Von Menschen und Göttern verlassene Leichname». Totenkult im 'Musée des Monuments Français' (1791-1816)?

Das 'Musée des Monuments Français' ging 1793 aus der Revolution hervor. Das ehemalige Kloster, in dem enteignete Kirchengüter gelagert wurden, mutierte unter Alexandre Lenoir zu einer chronologisch geordneten Ruhmesstätte der französischen Geschichte. Grabmäler und Monumente erinnern an verschiedene Personen dieser Geschichte – von Héloïse über viele Könige bis hin zu Descartes. Allerdings war das 'Musée des Monuments Français' weniger ein Ort des royalen Totenkults als vielmehr ein Museum, in dem auch die königlichen Grabmäler als Exponate innerhalb der Präsentation der französischen Geschichte fungierten. Daher führte es unter Zeitgenossen zu einer Polarisierung in Anhänger und Gegner: So waren zum Beispiel Michelet und Wilhelm von Humboldt vom 'Musée des Monuments Français' begeistert, während Chateaubriand es strikt ablehnte. Im 'Musée des Monuments Français’ waren die Grabstätten und Skulpturen permanente Zeugnisse der Niederlage des Königtums. In der Restauration wurde das Museum Ende 1816 geschlossen, die königlichen Grabmäler wurden zurück in die Kirche von Saint Denis überführt.

Environmental context of selected samples from the Tara Oceans Expedition (2009-2013)

The present data set provides contextual environmental data for samples from the Tara Oceans Expedition (2009-2013) that were selected for publication in a special issue of the SCIENCE journal (see related references below). The data set provides calculated averages of mesaurements made at the sampling location and depth, calculated averages from climatologies (AMODIS, VGPM) and satellite products.

Abundance of large protists from the Infrakingdom Rhizaria in the global ocean

The present data set is a worldwide compilation from 11 oceanographic expeditions during which an underwater vision profiler (UVP) was deployed in situ to determine the vertical distribution (abundance) of 10 taxonomic/morphological groups of plankton larger than 600 µm, belonging to the Infrakingdom Rhizaria, including Phaeodaria, Radiolaria, Collodaria and Acantharia.

Environmental context of a compilation about the distribution of large protists from the Infrakingdom Rhizaria in the global ocean

The present data set provides environmental context to a worldwide compilation from 11 oceanographic expeditions during which an underwater vision profiler (UVP) was deployed in situ to determine the vertical distribution plankton larger than 600 µm, belonging to the Infrakingdom Rhizaria.

Biodiversity context of all samples from the Tara Oceans Expedition (2009-2013)

The Tara Oceans Expedition (2009-2013) sampled the world oceans on board a 36 m long schooner, collecting environmental data and organisms from viruses to planktonic metazoans for later analyses using modern sequencing and state-of-the-art imaging technologies. Tara Oceans Data are particularly suited to study the genetic, morphological and functional diversity of plankton. The present data set provides biodiversity context to all samples from the Tara Oceans Expedition (2009-2013), including various diversity indexes calculated for the sampling location using satellite and model climatologies (Darwin project, Physat) and results from the sequencing of Tara Oceans samples.

Environmental context of all samples from the Tara Oceans Expedition (2009-2013), about depth specific features

The Tara Oceans Expedition (2009-2013) sampled the world oceans on board a 36 m long schooner, collecting environmental data and organisms from viruses to planktonic metazoans for later analyses using modern sequencing and state-of-the-art imaging technologies. Tara Oceans Data are particularly suited to study the genetic, morphological and functional diversity of plankton. The present data set provides environmental context to all samples from the Tara Oceans Expedition (2009-2013), including calculated averages of mesaurements made concurrently at the sampling location and depth, and calculated averages from climatologies (AMODIS, VGPM) and satellite products.

Environmental context of all samples from the Tara Oceans Expedition (2009-2013), about mesoscale features

The Tara Oceans Expedition (2009-2013) sampled the world oceans on board a 36 m long schooner, collecting environmental data and organisms from viruses to planktonic metazoans for later analyses using modern sequencing and state-of-the-art imaging technologies. Tara Oceans Data are particularly suited to study the genetic, morphological and functional diversity of plankton. The present data set provides environmental context to all samples from the Tara Oceans Expedition (2009-2013), about mesoscale features related to the sampling date, time and location. Includes calculated averages of mesaurements made concurrently at the sampling location and depth, and calculated averages from climatologies (AMODIS, VGPM) and satellite products.

Les chretiens sous Neron /

Mode of access: Internet.

Manuel d'instruction réligieuse /

Mode of access: Internet.

Les comptes du monde adventureux : texte original /

It has been conjectured that A.D.S.D. could be Antoine de Saint-Denis, Abraham de Saint-Die, or André de Saint-Didier. Cf. Brunet.

Levées d'hommes et acheteurs de biens nationaux dans la Sarthe en 1793,

Mode of access: Internet.

Bibliographie des Travaux de A. Giry (1848-1899) avec une Notice Biographique,

Mode of access: Internet.

De l'origine des espèces ou Des lois du progrés chez les étres organisés /

Mode of access: Internet.