Effectiveness of preventive onabotulinumtoxin A injections for migraine headaches is dependent on the circadian time of administration.

We have previously shown that quarterly preventive onabotulinumtoxin A (BTA) injections administered to diurnally active patients for chronic migraines (CM) associate with increased discomfort when performed in the morning. The purpose of this study was to further examine if the effectiveness of preventive BTA injections depends on the procedure's circadian timing. A total of 90 diurnally active patients with a medical history of CM and undergoing BTA injection therapy were enrolled in the study. One hundred and fifty-five units of BTA were administered according to the standardized PREEMPT protocol, either during the course of morning (AM) or afternoon (PM) clinic hours. Patients were asked to keep headache diaries, which were reviewed at the time of their follow-up BTA injections 3 months later. The number of headache days experienced during the first, second, and third month following BTA injection, and the number of headache days during the last 7 days prior to follow-up was collected, as was the self-rating of the effectiveness of BTA treatment. Fifty-five (61%) patients were injected during the AM clinic and 35 (39%) during the PM clinic. There was no difference in gender, race, and age variables between the AM and PM patients. The average total number of headache days during 3 months following injection was significantly higher for the AM-treated compared to the PM-treated patients (22.37 ± 18.85 vs. 10.54 ± 7.5, p =.0007). AM patients also reported a higher number of headache days during each of the 3 months following BTA injection. In contrast, PM patients reported higher effectiveness of preventive BTA treatment. The average number of headache days during the week prior to the follow up, as well as the presence of headache on the day of the follow-up was not significantly different between the AM and PM groups. Scheduling diurnally active CM patients with stable circadian sleep/wake routine for afternoon BTA injections appear to improve the effectiveness of BTA therapy as well as patients' satisfaction with the treatment.

Regeneración de árboles en ecosistemas naturales y plantaciones de Pinus patula (Pinaceae) dentro de un gradiente altitudinal andino (Azuay, Ecuador) / Regeneration of trees in natural ecosystems and plantations of Pinus patula (Pinaceae), in an Andean altitudinal gradient (Azuay, Ecuador)

Resumen Los bosques y páramos andinos poseen alta riqueza de especies, pero están amenazados constantemente por deforestación. La regeneración natural arbórea de estos ecosistemas condiciona su estructura y funcionalidad en el futuro, pero ha sido escasamente evaluada. En Los Andes del sur del Ecuador, también existen plantaciones forestales de Pinus patula (pino) abandonadas, que podrían ser escenarios para promover la regeneración natural. En un gradiente altitudinal andino, se evaluó florísticamente parámetros de la regeneración arbórea en dos escenarios de estudio: ecosistemas naturales (páramos herbáceos y bosques naturales) y plantaciones de pino. Para ello la diversidad de la regeneración fue descrita mediante la riqueza de especies, índice de Shannon y composición florística. La abundancia a través del número de individuos; estos parámetros fueron comparados en ambos escenarios. También se determinó qué variables ambientales o predictoras de: cobertura de dosel, edáficas, estructura arbórea, distancia horizontal y fisiográficas, explicaron con mayor magnitud la variación en los parámetros de la regeneración. Para ello se realizó un análisis de partición de la variación. La riqueza y diversidad de especies fueron mayores en los ecosistemas naturales, la composición florística fue diferente y su abundancia fue similar. En los ecosistemas naturales, el área basal y la densidad arbórea explicaron mayormente la variación en la riqueza, diversidad y abundancia. No así en las plantaciones de pino en donde la distancia horizontal hacia los bosques nativos fue la predictora que mayormente las explicó. La mayor diversidad de regeneración en los ecosistemas naturales (bosques) está asociada con la existencia de biotipos arbóreos, arbustivos y disponibilidad de semillas, adicionando a la eficiencia en los procesos de dispersión a nivel de micro-hábitat, aspectos que son limitantes en las plantaciones de pino, en los cuales la dispersión o disponibilidad de semillas depende de la cercanía a los ecosistemas naturales.

Abstract Andean forests and paramo have high species richness, but constantly they are threatened by deforestation. Natural arboreal regeneration of these ecosystems will condition their structure and functionality in the future, but now it has been poorly evaluated. In the Andes of Southern Ecuador, there are also abandoned Pinus patula (pine) forest plantations, which could be scenarios to promote natural regeneration. In an Andean altitudinal gradient, we evaluated floristically parameters of tree regeneration between two study scenarios: natural ecosystems (herbaceous paramos and natural forests) and pine plantations. For this, the diversity of regeneration was described by species richness, Shannon index and floristic composition. Abundance with the number of individuals; these parameters were compared between two scenarios. We determined also that environmental variables or predictors of: canopy cover, soil, tree structure, horizontal distance and physiographic explained the variation in the parameters of regeneration with greater magnitude. For this, a partition analysis of the variation was carried out. Richness and diversity of species were greater in natural ecosystems, whereas floristic composition was different and its abundance was similar. In natural ecosystems, basal area and tree density explained mainly the variation in wealth, diversity and abundance. Not so in pine plantations where horizontal distance to the native forests was the predictor that mostly explained. The greatest diversity of regeneration in natural ecosystems (forests) is associated with the existence of arboreal, shrub and seed biotypes. It is adding to this, efficiency in dispersion processes at the micro-habitat level. These aspects are limiting in plantations of pine, in which the dispersion or availability of seeds depends on the proximity to natural ecosystems.

Accuracy of coded excitation methods for measuring the time of flight: Application to ultrasonic characterization of wood samples.

Ultrasound computed tomography (USCT) using the transmission mode is a way to detect and assess the extent of decay in wood structures. The resolution of the ultrasonic image is closely related to the different anatomical features of wood. The complexity of the wave propagation process generates complex signals consisting of several wave packets with different signatures. Wave paths, depth dependencies, wave velocities or attenuations are often difficult to interpret. For this kind of assessment, the focus is generally on signal pre-processing. Several approaches have been used so far including filtering, spectrum analysis and a method involving deconvolution using a characteristic transfer function of the experimental device. However, all these approaches may be too sophisticated and/or unstable. The alternative methods proposed in this work are based on coded excitation, which makes it possible to process both local and general information available such as frequency and time parameters. Coded excitation is based on the filtering of the transmitted signal using a suitable electric input signal. The aim of the present study was to compare two coded-excitation methods, a chirp- and a wavelet-coded excitation method, to determine the time of flight of the ultrasonic wave, and to investigate the feasibility, the robustness and the precision of the measurement of geometrical and acoustical properties in laboratory conditions. To obtain control experimental data, the two methods were compared with the conventional ultrasonic pulse method. Experiments were conducted on a polyurethane resin sample and two samples of different wood species using two 500 kHz-transducers. The relative errors in the measurement of thickness compared with the results of caliper measurements ranged from 0.13% minimum for the wavelet-coded excitation method to 2.3% maximum for the chirp-coded excitation method. For the relative errors in the measurement of ultrasonic wave velocity, the coded excitation methods showed differences ranging from 0.24% minimum for the wavelet-coded excitation method to 2.62% maximum for the chirp-coded excitation method. Methods based on coded excitation algorithms thus enable accurate measurements of thickness and ultrasonic wave velocity in samples of wood species.

Experimental ultrasonic characterization of polyester-based materials for cultural heritage applications.

For several years, the Réunion des musées nationaux - Grand-Palais has produced polyester resin reproductions in order to replace marble sculptures that have weakened by outdoor exposure. These objects are made of a complex multilayered polyester composite material including reinforcements to ensure the mechanical strength of the final structure and mineral fillers that allow to imitate the original aesthetics. However, the final structure also weakens because of constant outdoor exposure and ageing. This observation leads today to conduct research related to the structural health monitoring of reproductions for preventive conservation of cultural heritage. This paper presents a nondestructive technique to study the properties of the composite material used to produce reproductions of marble sculptures. Firstly, classical ultrasonic contact measurements were performed to estimate bulk properties and Rayleigh wave velocity. Secondly, experimental Rayleigh wave was measured using contact and laser vibrometry methods. The results show the potential of using ultrasonic surface wave propagation and laser vibrometry method to develop a minimum contact technique to study these polyester-based materials. The maximum relative uncertainty with respect to the expected theoretical Rayleigh wave velocity was close to 12%.