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The genesis of chronic pain is explained by a biopsychosocial model. It hypothesizes an interdependency between environmental and genetic factors provoking aberrant long-term changes in biological and psychological regulatory systems. Physiological effects of psychological and physical stressors may play a crucial role in these maladaptive processes. Specifically, long-term demands on the stress response system may moderate central pain processing and influence descending serotonergic and noradrenergic signals from the brainstem, regulating nociceptive processing at the spinal level. However, the underlying mechanisms of this pathophysiological interplay still remain unclear. This paper aims to shed light on possible pathways between physical (exercise) and psychological stress and the potential neurobiological consequences in the genesis and treatment of chronic pain, highlighting evolving concepts and promising research directions in the treatment of chronic pain. Two treatment forms (exercise and mindfulness-based stress reduction as exemplary therapies), their interaction, and the dose-response will be discussed in more detail, which might pave the way to a better understanding of alterations in the pain matrix and help to develop future prevention and therapeutic concepts
Objective: To investigate associations between socioeconomic status (SES) indicators (education, job position, income, multidimensional index) and the genesis of chronic low back pain (CLBP).
Design: Longitudinal field study (baseline and 6-month follow-up).
Setting: Four medical clinics across Germany.
Participants: 352 people were included according to the following criteria: (1) between 18 and 65 years of age, (2) intermittent pain and (3) an understanding of the study and the ability to answer a questionnaire without help. Exclusion criteria were: (1) pregnancy, (2) inability to stand upright, (3) inability to give sick leave information, (4) signs of serious spinal pathology, (5) acute pain in the past 7 days or (6) an incomplete SES indicators questionnaire.
Outcome measures: Subjective intensity and disability of CLBP.
Results Analysis: showed that job position was the best single predictor of CLBP intensity, followed by a multidimensional index. Education and income had no significant association with intensity. Subjective disability was best predicted by job position, succeeded by the multidimensional index and education, while income again had no significant association.
Conclusion: The results showed that SES indicators have different strong associations with the genesis of CLBP and should therefore not be used interchangeably. Job position was found to be the single most important indicator. These results could be helpful in the planning of back pain care programmes, but in general, more research on the relationship between SES and health outcomes is needed.
Chaabene, Helmi ; Negra, Yassine ; Bouguezzi, Raja ; Capranica, Laura ; Franchini, Emerson ; Prieske, Olaf ; Hbacha, Hamdi ; Granacher, Urs
The regular monitoring of physical fitness and sport-specific performance is important in elite sports to increase the likelihood of success in competition. This study aimed to systematically review and to critically appraise the methodological quality, validation data, and feasibility of the sport-specific performance assessment in Olympic combat sports like amateur boxing, fencing, judo, karate, taekwondo, and wrestling. A systematic search was conducted in the electronic databases PubMed, Google-Scholar, and Science-Direct up to October 2017. Studies in combat sports were included that reported validation data (e.g., reliability, validity, sensitivity) of sport-specific tests. Overall, 39 studies were eligible for inclusion in this review. The majority of studies (74%) contained sample sizes <30 subjects. Nearly, 1/3 of the reviewed studies lacked a sufficient description (e.g., anthropometrics, age, expertise level) of the included participants. Seventy-two percent of studies did not sufficiently report inclusion/exclusion criteria of their participants. In 62% of the included studies, the description and/or inclusion of a familiarization session (s) was either incomplete or not existent. Sixty-percent of studies did not report any details about the stability of testing conditions. Approximately half of the studies examined reliability measures of the included sport-specific tests (intraclass correlation coefficient [ICC] = 0.43–1.00). Content validity was addressed in all included studies, criterion validity (only the concurrent aspect of it) in approximately half of the studies with correlation coefficients ranging from r = −0.41 to 0.90. Construct validity was reported in 31% of the included studies and predictive validity in only one. Test sensitivity was addressed in 13% of the included studies. The majority of studies (64%) ignored and/or provided incomplete information on test feasibility and methodological limitations of the sport-specific test. In 28% of the included studies, insufficient information or a complete lack of information was provided in the respective field of the test application. Several methodological gaps exist in studies that used sport-specific performance tests in Olympic combat sports. Additional research should adopt more rigorous validation procedures in the application and description of sport-specific performance tests in Olympic combat sports.
Findings on the perceptual reorganization of lexical tones are mixed. Some studies report good tone discrimination abilities for all tested age groups, others report decreased or enhanced discrimination with increasing age, and still others report U-shaped developmental curves. Since prior studies have used a wide range of contrasts and experimental procedures, it is unclear how specific task requirements interact with discrimination abilities at different ages. In the present work, we tested German and Cantonese adults on their discrimination of Cantonese lexical tones, as well as German-learning infants between 6 and 18 months of age on their discrimination of two specific Cantonese tones using two different types of experimental procedures. The adult experiment showed that German native speakers can discriminate between lexical tones, but native Cantonese speakers show significantly better performance. The results from German-learning infants suggest that 6- and 18-month-olds discriminate tones, while 9-month-olds do not, supporting a U-shaped developmental curve. Furthermore, our results revealed an effect of methodology, with good discrimination performance at 6 months after habituation but not after familiarization. These results support three main conclusions. First, habituation can be a more sensitive procedure for measuring infants' discrimination than familiarization. Second, the previous finding of a U-shaped curve in the discrimination of lexical tones is further supported. Third, discrimination abilities at 18 months appear to reflect mature perceptual sensitivity to lexical tones, since German adults also discriminated the lexical tones with high accuracy.
Due to maturation of the postural control system and secular declines in motor performance, adolescents experience deficits in postural control during standing and walking while concurrently performing cognitive interference tasks. Thus, adequately designed balance training programs may help to counteract these deficits. While the general effectiveness of youth balance training is well-documented, there is hardly any information available on the specific effects of single-task (ST) versus dual-task (DT) balance training. Therefore, the objectives of this study were (i) to examine static/dynamic balance performance under ST and DT conditions in adolescents and (ii) to study the effects of ST versus DT balance training on static/dynamic balance under ST and DT conditions in adolescents. Twenty-eight healthy girls and boys aged 12–13 years were randomly assigned to either 8 weeks of ST or DT balance training. Before and after training, postural sway and spatio-temporal gait parameters were registered under ST (standing/walking only) and DT conditions (standing/walking while concurrently performing an arithmetic task). At baseline, significantly slower gait speed (p < 0.001, d = 5.1), shorter stride length (p < 0.001, d = 4.8), and longer stride time (p < 0.001, d = 3.8) were found for DT compared to ST walking but not standing. Training resulted in significant pre–post decreases in DT costs for gait velocity (p < 0.001, d = 3.1), stride length (-45%, p < 0.001, d = 2.4), and stride time (-44%, p < 0.01, d = 1.9). Training did not induce any significant changes (p > 0.05, d = 0–0.1) in DT costs for all parameters of secondary task performance during standing and walking. Training produced significant pre–post increases (p = 0.001; d = 1.47) in secondary task performance while sitting. The observed increase was significantly greater for the ST training group (p = 0.04; d = 0.81). For standing, no significant changes were found over time irrespective of the experimental group. We conclude that adolescents showed impaired DT compared to ST walking but not standing. ST and DT balance training resulted in significant and similar changes in DT costs during walking. Thus, there appears to be no preference for either ST or DT balance training in adolescents.
Uncertainty is an essential part of atmospheric processes and thus inherent to weather forecasts. Nevertheless, weather forecasts and warnings are still predominately issued as deterministic (yes or no) forecasts, although research suggests that providing weather forecast users with additional information about the forecast uncertainty can enhance the preparation of mitigation measures. Communicating forecast uncertainty would allow for a provision of information on possible future events at an earlier time. The desired benefit is to enable the users to start with preparatory protective action at an earlier stage of time based on the their own risk assessment and decision threshold. But not all users have the same threshold for taking action. In the course of the project WEXICOM (‘Wetterwarnungen: Von der Extremereignis-Information zu Kommunikation und Handlung’) funded by the Deutscher Wetterdienst (DWD), three studies were conducted between the years 2012 and 2016 to reveal how weather forecasts and warnings are reflected in weather-related decision-making. The studies asked which factors influence the perception of forecasts and the decision to take protective action and how forecast users make sense of probabilistic information and the additional lead time. In a first exploratory study conducted in 2012, members of emergency services in Germany were asked questions about how weather warnings are communicated to professional endusers in the emergency community and how the warnings are converted into mitigation measures. A large number of open questions were selected to identify new topics of interest. The questions covered topics like users’ confidence in forecasts, their understanding of probabilistic information as well as their lead time and decision thresholds to start with preparatory mitigation measures. Results show that emergency service personnel generally have a good sense of uncertainty inherent in weather forecasts. Although no single probability threshold could be identified for organisations to start with preparatory mitigation measures, it became clear that emergency services tend to avoid forecasts based on low probabilities as a basis for their decisions. Based on this findings, a second study conducted with residents of Berlin in 2014 further investigated the question of decision thresholds. The survey questions related to the topics of the perception of and prior experience with severe weather, trustworthiness of forecasters and confidence in weather forecasts, and socio-demographic and social-economic characteristics. Within the questionnaire a scenario was created to determine individual decision thresholds and see whether subgroups of the sample lead to different thresholds. The results show that people’s willingness to act tends to be higher and decision thresholds tend to be lower if the expected weather event is more severe or the property at risk is of higher value. Several influencing factors of risk perception have significant effects such as education, housing status and ability to act, whereas socio-demographic determinants alone are often not sufficient to fully grasp risk perception and protection behaviour. Parallel to the quantitative studies, an interview study was conducted with 27 members of German civil protection between 2012 and 2016. The results show that the latest developments in (numerical) weather forecasting do not necessarily fit the current practice of German emergency services. These practices are mostly carried out on alarms and ground truth in a reactive manner rather than on anticipation based on prognosis or forecasts. As the potential consequences rather than the event characteristics determine protective action, the findings support the call and need for impact-based warnings. Forecasters will rely on impact data and need to learn the users’ understanding of impact. Therefore, it is recommended to enhance weather communication not only by improving computer models and observation tools, but also by focusing on the aspects of communication and collaboration. Using information about uncertainty demands awareness about and acceptance of the limits of knowledge, hence, the capabilities of the forecaster to anticipate future developments of the atmosphere and the capabilities of the user to make sense of this information.
Reversed predator
(2018)
Ecoevolutionary feedbacks in predator–prey systems have been shown to qualitatively alter predator–prey dynamics. As a striking example, defense–offense coevolution can reverse predator–prey cycles, so predator peaks precede prey peaks rather than vice versa. However, this has only rarely been shown in either model studies or empirical systems. Here, we investigate whether this rarity is a fundamental feature of reversed cycles by exploring under which conditions they should be found. For this, we first identify potential conditions and parameter ranges most likely to result in reversed cycles by developing a new measure, the effective prey biomass, which combines prey biomass with prey and predator traits, and represents the prey biomass as perceived by the predator. We show that predator dynamics always follow the dynamics of the effective prey biomass with a classic ¼‐phase lag. From this key insight, it follows that in reversed cycles (i.e., ¾‐lag), the dynamics of the actual and the effective prey biomass must be in antiphase with each other, that is, the effective prey biomass must be highest when actual prey biomass is lowest, and vice versa. Based on this, we predict that reversed cycles should be found mainly when oscillations in actual prey biomass are small and thus have limited impact on the dynamics of the effective prey biomass, which are mainly driven by trait changes. We then confirm this prediction using numerical simulations of a coevolutionary predator–prey system, varying the amplitude of the oscillations in prey biomass: Reversed cycles are consistently associated with regions of parameter space leading to small‐amplitude prey oscillations, offering a specific and highly testable prediction for conditions under which reversed cycles should occur in natural systems.
Concrete-operational thinking depicts an important aspect of cognitive development. A promising approach in promoting these skills is the instruction of strategies. The construction of such instructional programs requires insights into the mental operations involved in problem-solving. In the present paper, we address the question to which extent variations of the effect of isolated and combined mental operations (strategies) on correct solution of concrete-operational concepts can be observed. Therefore, a cross-sectional design was applied. The use of mental operations was measured by thinking-aloud reports from 80 first- and second-graders (N = 80) while solving tasks depicting concrete-operational thinking. Concrete-operational thinking was assessed using the subscales conservation of numbers, classification and sequences of the TEKO. The verbal reports were transcribed and coded with regard to the mental operations applied per task. Data analyses focused on tasks level, resulting in the analyses of N = 240 tasks per subscale. Differences regarding the contribution of isolated and combined mental operations (strategies) to correct solution were observed. Thereby, the results indicate the necessity of selection and integration of appropriate mental operations as strategies. The results offer insights in involved mental operations while solving concrete-operational tasks and depict a contribution to the construction of instructional programs.
Global climate change is one of the greatest challenges of the 21st century, with influence on the environment, societies, politics and economies. The (semi-)arid areas of Southern Africa already suffer from water scarcity. There is a great variety of ongoing research related to global climate history but important questions on regional differences still exist.
In southern African regions terrestrial climate archives are rare, which makes paleoclimate studies challenging. Based on the assumption that continental pans (sabkhas) represent a suitable geo-archive for the climate history, two different pans were studied in the southern and western Kalahari Desert. A combined approach of molecular biological and biogeochemical analyses is utilized to investigate the diversity and abundance of microorganisms and to trace temporal and spatial changes in paleoprecipitation in arid environments. The present PhD thesis demonstrates the applicability of pan sediments as a late Quaternary geo-archive based on microbial signature lipid biomarkers, such as archaeol, branched and isoprenoid glycerol dialkyl glycerol tetraethers (GDGTs) as well as phospholipid fatty acids (PLFA). The microbial signatures contained in the sediment provide information on the current or past microbial community from the Last Glacial Maximum to the recent epoch, the Holocene. The results are discussed in the context of regional climate evolution in southwestern Africa. The seasonal shift of the Innertropical Convergence Zone (ITCZ) along the equator influences the distribution of precipitation- and climate zones. The different expansion of the winter- and summer rainfall zones in southern Africa was confirmed by the frequency of certain microbial biomarkers. A period of increased precipitation in the south-western Kalahari could be described as a result of the extension of the winter rainfall zone during the last glacial maximum (21 ± 2 ka). Instead a period of increased paleoprecipitation in the western Kalahari was indicated during the Late Glacial to Holocene transition. This was possibly caused by a southwestern shift in the position of the summer rainfall zone associated to the southward movement of the ITCZ.
Furthermore, for the first time this study characterizes the bacterial and archaeal life based on 16S rRNA gene high-throughput sequencing in continental pan sediments and provides an insight into the recent microbial community structure. Near-surface processes play an important role for the modern microbial ecosystem in the pans. Water availability as well as salinity might determine the abundance and composition of the microbial communities. The microbial community of pan sediments is dominated by halophilic and dry-adapted archaea and bacteria. Frequently occurring microorganisms such as, Halobacteriaceae, Bacillus and Gemmatimonadetes are described in more detail in this study.