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.

Stratigraphy of the Campanian-Maastrichtian boundary in ODP Hole 122-762C

An integrated framework of magnetostratigraphy, calcareous microfossil bio-events, cyclostratigraphy and d13C stratigraphy is established for the upper Campanian-Maastrichtian of ODP Hole 762C (Exmouth Plateau, Northwestern Australian margin). Bulk-carbonate d13C events and nannofossil bio-events have been recorded and plotted against magnetostratigraphy, and provided absolute ages using the results of the cyclostratigraphic study and the recent astronomical calibration of the Maastrichtian. Thirteen carbon-isotope events and 40 nannofossil bio-events are recognized and calibrated with cyclostratigraphy, as well as 14 previously published foraminifer events, thus constituting a solid basis for large-scale correlations. Results show that this site is characterized by a nearly continuous sedimentation from the upper Campanian to the K-Pg boundary, except for a 500 kyr gap in magnetochron C31n. Correlation of the age-calibrated d13C profile of ODP Hole 762C to the d13C profile of the Tercis les Bains section, Global Stratotype Section and Point of the Campanian-Maastrichtian boundary (CMB), allowed a precise recognition and dating of this stage boundary at 72.15 ± 0.05 Ma. This accounts for a total duration of 6.15 ± 0.05 Ma for the Maastrichtian stage. Correlation of the boundary level with northwest Germany shows that the CMB as defined at the GSSP is ~800 kyr younger than the CMB as defined by Belemnite zonation in the Boreal realm. ODP Hole 762C is the first section to bear at the same time an excellent recovery of sediments throughout the upper Campanian-Maastrichtian, a precise and well-defined magnetostratigraphy, a high-resolution record of carbon isotope events and calcareous plankton biostratigraphy, and a cyclostratigraphic study tied to the La2010a astronomical solution. This section is thus proposed as an excellent reference for the upper Campanian-Maastrichtian in the Indian Ocean.

Supplementarity measures on fuzzy sets.

In this paper, we commence the study of the so called supplementarity measures. They are introduced axiomatically and are then related to incompatibility measures by antonyms. To do this, we have to establish what we mean by antonymous measure. We then prove that, under certain conditions, supplementarity and incompatibility measuresare antonymous. Besides, with the aim of constructing antonymous measures, we introduce the concept of involution on the set made up of all the ordered pairs of fuzzy sets. Finally, we obtain some antonymous supplementarity measures from incompatibility measures by means of involutions.

Progress on the development of a technology for silicon purification

The polysilicon market is experiencing tremendous changes due to the strong demand from Photovoltaics (PV), which has by far surpassed the demand from Microelectronics. The need of solar silicon has induced a large increase in capacity, which has now given a scenario of oversupply, reducing the polysilicon price to levels that put a strong pressure on the cost structure of the producers. The paper reports on the R&D efforts carried out in the field of solar silicon purification via the chlorosilane route by a private-public consortium that is building a pilot plant of 50-100 tonnes/year, that will synthesize trichlorosilane, purify it and deposit ultrapure silicon in an industrial-size Siemens type reactor. It has also capabilities for ingot growth and material characterization. A couple of examples of the progress so far are given, the first one related to the recycling scheme of chlorinated compounds, and the second to the minimization of radiation losses in the CVD deposition process, which account for a relevant part of the total energy consumption. In summary, the paper gives details on the technology being developed in our pilot plant, which offers a unique platform for field-testing of innovative approaches that can lead to a cost reduction of solar silicon produced via the chlorosilane route.

Energy yield determination of concentrator solar cells using laboratory measurements

The annual energy conversion efficiency is calculated for a four junction inverted metamorphic solar cell that has been completely characterized in the laboratory at room temperature using measurements fit to a comprehensive optoelectronic model of the multijunction solar cells. A simple model of the temperature dependence is used redict the performance of the solar cell under varying temperature and spectra characteristic of Golden, CO for an entire year. The annual energy conversion efficiency is calculated by integrating the predicted cell performance over the entire year. The effects of geometric concentration, CPV system thermal characteristics, and luminescent coupling are ighlighted.

Toward a consolidation of the CPV-specific-test procedures for inverters

The inverter in a photovoltaic system assures two essential functions. The first is to track the maximum power point of the system IV curve throughout variable environmental conditions. The second is to convert DC power delivered by the PV panels into AC power. Nowadays, in order to qualify inverters, manufacturers and certifying organisms use mainly European and/or CEC efficiency standards. The question arises if these are still representative of CPV system behaviour. We propose to use a set of CPV – specific weighted average and a representative dynamic response to have a better determination of the static and dynamic MPPT efficiencies. Four string-sized commercial inverters used in real CPV plants have been tested.

Reduction of front-metallization grid shading in concentrator cells through laser micro-grooved cover glass

Concentrator solar cell front-grid metallizations are designed so that the trade-off between series resistance and shading factor (SF) is optimized for a particular irradiance. High concentrator photovoltaics (CPV) typically requires a metallic electrode pattern that covers up to 10% of the cell surface. The shading effect produced by this front electrode results in a significant reduction in short-circuit current (I SC) and hence, in a significant efficiency loss. In this work we present a cover glass (originally meant to protect the cell surface) that is laser-grooved with a micrometric pattern that redirects the incident solar light towards interfinger regions and away from the metallic electrodes, where they would be wasted in terms of photovoltaic generation. Quantum efficiency (QE) and current (I)-voltage (V) characterization under concentration validate the proof-of-concept, showing great potential for CPV applications

Improving Optical Performance of Concentrator Cells by Means of a Deposited Nanopattern Layer

Multijunction solar cells (MJSC) use anti-reflective coatings (ARC) to minimize Fresnel reflection losses for a family of light incidence angles. These coatings adapt the refractive index of the cell to that of the surrounding medium. Patterns with sizes in the range of the light wavelength can be used to further reduce reflections through diffraction. Transparent nanopatterns with a gradual profile, called moth-eye nanostructures, can adapt the refractive index of the optical interfaces (often with n∼1.5) used to encapsulate concentrator solar cells to that of the air (n air∼1). Here we show the effect of a nanometric moth-eye ARC with a round motif deposited on commercial MJSC that achieves short-circuit current (I SC) gains greater than 2% at normal incidence and even higher in the case of tilted illumination. In this work, MJSC with different moth-eye ARC are characterized under quantum efficiency (QE) as well as under concentrated illumination I-V in order to assess their potential. Simulations based on coupled wave analysis (RCWA) are used to fit the experimental results with successful results.

Carbon isotope record of 3 profiles from Campanian-Maastrichtian

Carbon-isotope stratigraphy has proven to be a powerful tool in the global correlation of Cretaceous successions. Here we present new, high-resolution carbon-isotope records for the Global Boundary Stratotype Section and Point (GSSP) of the Maastrichtian stage at Tercis les Bains (France), the Bottaccione and Contessa sections at Gubbio (Italy), and the coastal sections at Norfolk (UK) to provide a global d13C correlation between shelf-sea and oceanic sites. The new d13C records are correlated with d13C-stratigraphies of the boreal chalk sea (Trunch borehole, Norfolk, UK, Lägerdorf-Kronsmoor-Hemmoor section, northern Germany, Stevns-1 core, Denmark), the tropical Pacific (ODP-Hole 1210B, Shatsky Rise) and the South Atlantic and Southern Ocean (DSDP Hole 525A, ODP Hole 690C) by using an assembled Gubbio d13C record as a reference curve. The global correlation allows the identification of significant high-frequency d13C variations that occur superimposed on prominent Campanian-Maastrichtian events, namely the Late Campanian Event (LCE), the Campanian-Maastrichtian Boundary Event (CMBE), the mid-Maastrichtian Event (MME), and the Cretaceous-Paleogene transition (KPgE). The carbon-isotope events are correlated with the geomagnetic polarity scale recalculated using the astronomical 40Ar/39Ar calibration of the Fish Canyon sanidine. This technique allows the evaluation of the relative timing of base occurrences of stratigraphic index fossils such as ammonites, planktonic foraminifera and calcareous nannofossils. Furthermore, the Campanian-Maastrichtian boundary, as defined in the stratotype at Tercis, can be precisely positioned relative to carbon-isotope stratigraphy and the geomagnetic polarity timescale. The average value for the age of the Campanian-Maastrichtian boundary is 72.1 ± 0.1 Ma, estimated by three independent approaches that utilize the Fish Canyon sanidine calibration and Option 2 of the Maastrichtian astronomical timescale. The CMBE covers a time span of 2.5 Myr and reflects changes in the global carbon cycle probably related to tectonic processes than to glacioeustasy. The duration of the high-frequency d13C variations instead coincides with the frequency band of long eccentricity, indicative of orbital forcing of changes in climate and the global carbon cycle.

Compte-rendu des eaux d'Aix en Savoie pendant l'anée de 1860 /

Mode of access: Internet.

Resumen histórico médico-moral de la prostitucion y de su estado actual en Paris e influencia de la misma en la propagación de las enfermedades venéreas /

Encuadernación holandesa.