Management of Chronic Pain by Occupational Therapist: A Description of Practice Profile.

Background. Current state of knowledge regarding occupational therapy's contribution to chronic pain (CP) management has evolved over the past decade. Yet, has this been transferred to clinical practice? Purpose. Describe the current state of practice of CP management-specific occupational therapy. Method. An online survey was sent to occupational therapists working with CP patients. Findings. Of the 90 respondents (11.9%), 42.2% worked in primary care and 52.2% in secondary care. They reported that their primary role aimed at enabling occupation and providing vocational rehabilitation. The Canadian Model of Occupational Performance and Engagement (CMOP-E) (87.8%), semi-structured interview (86.7%), and education on energy conservation (65.6%) and postural hygiene (60.0%) were the most frequently reported conceptual model, assessment, and intervention methods. Implications. Results illustrate the diversity of current occupational therapy practice in CP management and suggest opportunities for improvement to ensure best practices are adopted, by emphasizing an occupation-based vision of health and well-being.

Pesticide sorption and mitigation efficiency of a detention pond in a Champagne vineyard catchment.

Detention ponds (DPs) are used to reduce the pesticide inputs from runoff to surface water. This study aimed to assess the role of the sorption process in the mitigation of a DP made up of four successive units and built at the outlet of a vineyard catchment in Champagne (France) to treat runoff waters. Sorption kinetics and isotherms were studied for four pesticides with contrasting properties, cyazofamid (CYA), fludioxonil (FLX), fluopicolide (FLP) and oryzalin (ORY), in the presence of copper in sediments and four emergent macrophyte roots and rhizomes sampled in the DP units 2 (photodegradation) and 3 (phytoremediation). The adsorption equilibrium time (from 24 to 96 h) was less than the hydraulic residence times in the two units (6 and 18 days on average) between November 2016 and November 2017. Sorption equilibrium could then be reached in situ in 85 % of cases. The K d coefficients of the four pesticides were overall greater in plant roots (14-6742 L kg-1) than in sediments (6-163 L kg-1) because of their affinity for organic matter and the molecular and porous structure of the plant matrices. Typha latifolia and Iris pseudacorus exhibited greater K d coefficients than Mentha aquatica and Phragmites australis, probably due to their greater specific surface area. The pesticide adsorption capacity in sediments and in T. latifolia and I. pseudacorus roots (ORY ≥ FLX > CYA > FLP) was linked to their K ow . The estimated total annual amounts of the four pesticides adsorbed in situ were determined to be 1236 mg for unit 2 and 1570 mg for unit 3. The four plants improved the removal efficiency of the unit 3 by 33%. Thus, the establishment of suitable and effective plants should be promoted to optimize sorption processes and DP efficiency in reducing water pollution.

Response of bacterial communities to Pb smelter pollution in contrasting soils.

Anthropogenic inputs of trace elements (TE) into soils constitute a major public and environmental health problem. Bioavailability of TE is strongly related to the soil physicochemical parameters and thus to the ecosystem type. In order to test whether soil parameters influence the response of the bacterial community to TE pollution, we collected soil samples across contrasting ecosystems (hardwood, coniferous and hydromorphic soils), which have been contaminated in TE and especially lead (Pb) over several decades due to nearby industrial smelting activities. Bacterial community composition was analysed using high throughput amplicon sequencing and compared to the soil physicochemical parameters. Multivariate analyses of the pedological and biological data revealed that the bacterial community composition was affected by ecosystem type in the first place. An influence of the contamination level was also evidenced within each ecosystem. Despite the important variability in bacterial community structure, we found that specific bacterial groups such as γ-Proteobacteria, Verrucomicrobia and Chlamydiae showed a consistent response to Pb content across contrasting ecosystems. Verrucomicrobia were less abundant at high contamination level whereas Chlamydiae and γ-Proteobacteria were more abundant. We conclude that such groups and ratio's thereof can be considered as relevant bioindicators of Pb contamination.

Multivariate spatial analyses of the distribution and origin of trace and major elements in soils surrounding a secondary lead smelter.

Major and trace elements in soils originate from natural processes and different anthropogenic activities which are difficult to discriminate. On a 17-ha impacted site in northern France, two industrial sources of soil contamination were xidentified: a former iron foundry and a current secondary lead smelter. To discriminate and map natural and anthropogenic sources of major and trace elements on this site, the rarely applied MULTISPATI-principal component analysis (PCA) method was used. Using a 20-m × 20-m grid, 247 topsoil horizons were sampled and analysed with a field-portable X-ray fluorescence analyser for screening soil contamination. The study site was heavily contaminated with Pb and, to a lesser degree, with Sn. Summary statistics and enrichment factors allowed the differentiation of the main lithogenic or anthropogenic origin of the elements. The MULTISPATI-PCA method, which explained 73.9 % of the variability with the three first factors, evidenced strong spatial structures. Those spatial structures were attributed to different natural and artificial processes in the study area. The first axis can be interpreted as a lithogenic effect. Axes 2 and 3 reflect the two different contamination sources. Pb, Sn and S originated from the secondary lead smelter while Fe and Ca were mainly derived from the old iron foundry activity and the old railway built with foundry sand. This study demonstrated that the MULTISPATI-PCA method can be successfully used to investigate multicontaminated sites to discriminate the various sources of contamination.

Lead distribution in soils impacted by a secondary lead smelter: Experimental and modelling approaches.

Smelting activities are one of the most common sources of trace elements in the environment. The aim of this study was to determine the lead distribution in upper horizons (0-5 and 5-10cm) of acidic soils in the vicinity of a lead-acid battery recycling plant in northern France. The combination of chemical methods (sequential extractions), physical methods (Raman microspectroscopy and scanning electron microscopy with an energy dispersive spectrometer) and multi-surface complexation modelling enabled an assessment of the behaviour of Pb. Regardless of the studied soil, none of the Pb-bearing phases commonly identified in similarly polluted environments (e.g., anglesite) were observed. Lead was mainly associated with organic matter and manganese oxides. The association of Pb with these soil constituents can be interpreted as evidence of Pb redistribution in the studied soils following smelter particle deposition.

Influence of dissolved organic matter and manganese oxides on metal speciation in soil solution: A modelling approach.

Trace element (TE) speciation modelling in soil solution is controlled by the assumptions made about the soil solution composition. To evaluate this influence, different assumptions using Visual MINTEQ were tested and compared to measurements of free TE concentrations. The soil column Donnan membrane technique (SC-DMT) was used to estimate the free TE (Cd, Cu, Ni, Pb and Zn) concentrations in six acidic soil solutions. A batch technique using DAX-8 resin was used to fractionate the dissolved organic matter (DOM) into four fractions: humic acids (HA), fulvic acids (FA), hydrophilic acids (Hy) and hydrophobic neutral organic matter (HON). To model TE speciation, particular attention was focused on the hydrous manganese oxides (HMO) and the Hy fraction, ligands not considered in most of the TE speciation modelling studies in soil solution. In this work, the model predictions of free ion activities agree with the experimental results. The knowledge of the FA fraction seems to be very useful, especially in the case of high DOM content, for more accurately representing experimental data. Finally, the role of the manganese oxides and of the Hy fraction on TE speciation was identified and, depending on the physicochemical conditions of the soil solution, should be considered in future studies.