Myofascial pain - A major player in musculoskeletal pain.

Myofascial pain is a soft tissue pain syndrome with local and referred musculoskeletal pain arising from trigger points. Myofascial pain and myofascial pain syndromes are among some of the most common acute and chronic pain conditions. Myofascial pain can exist independently of other pain generators or can coexist with or is secondary to other acute and chronic painful musculoskeletal conditions. Myofascial pain is most effectively treated with a multimodal treatment plan including injection therapy (known as trigger point injections, physical therapy, postural or ergonomic correction, and treatment of underlying musculoskeletal pain generators. The objectives of this review are to outline the prevalence of myofascial pain, describe the known pathophysiology of myofascial pain and trigger points, discuss the clinical presentation of myofascial pain, and present evidence-based best practices for pharmacologic, non-pharmacologic, and interventional treatments for myofascial pain.

Musculoskeletal and Neuropathic Pain in COVID-19.

Chronic pain constitutes a significant disease burden globally and accounts for a substantial portion of healthcare spending. The COVID-19 pandemic contributed to an increase in this burden as patients presented with musculoskeletal or neuropathic pain after contracting COVID-19 or had their chronic pain symptoms exacerbated by the virus. This extensive literature review analyzes the epidemiology of pain pre-pandemic, the costs associated with the COVID-19 pandemic, the impact of the virus on the body, mechanisms of pain, management of chronic pain post-pandemic, and potential treatment options available for people living with chronic pain who have had or are currently infected with COVID-19.

Integration of urban science and urban climate adaptation research: opportunities to advance climate action.

There is a growing recognition that responding to climate change necessitates urban adaptation. We sketch a transdisciplinary research effort, arguing that actionable research on urban adaptation needs to recognize the nature of cities as social networks embedded in physical space. Given the pace, scale and socioeconomic outcomes of urbanization in the Global South, the specificities and history of its cities must be central to the study of how well-known agglomeration effects can facilitate adaptation. The proposed effort calls for the co-creation of knowledge involving scientists and stakeholders, especially those historically excluded from the design and implementation of urban development policies.

Drivers of prohibited natural resource collection in Chitwan National Park, Nepal.

Protected areas (PAs) are critical for achieving conservation, economic and development goals, but the factors that lead households to engage in prohibited resource collection in PAs are not well understood. We examine collection behaviours in community forests and the protected Chitwan National Park in Chitwan, Nepal. Our approach incorporates household and ecological data, including structured interviews, spatially explicit data on collection behaviours measured with computer tablets and a systematic field survey of invasive species. We pair our data with a framework that considers factors related to a household's demand for resources, barriers to prohibited resource collection, barriers to legal resource collection and alternatives to resource collection. The analysis identifies key drivers of prohibited collection, including sociodemographic variables and perceptions of an invasive plant (Mikania micrantha). The social-ecological systems approach reveals that household perceptions of the presence of M. micrantha were more strongly associated with resource collection decisions than the actual ecologically measured presence of the plant. We explore the policy implications of our findings for PAs and propose that employing a social-ecological systems approach leads to conservation policy and scientific insights that are not possible to achieve with social or ecological approaches alone.

The persistence of ancient settlements and urban sustainability.

We propose a dedicated research effort on the determinants of settlement persistence in the ancient world, with the potential to significantly advance the scientific understanding of urban sustainability today. Settlements (cities, towns, villages) are locations with two key attributes: They frame human interactions and activities in space, and they are where people dwell or live. Sustainability, in this case, focuses on the capacity of structures and functions of a settlement system (geography, demography, institutions) to provide for continuity of safe habitation. The 7,000-y-old experience of urbanism, as revealed by archaeology and history, includes many instances of settlements and settlement systems enduring, adapting to, or generating environmental, institutional, and technological changes. The field of urban sustainability lacks a firm scientific foundation for understanding the long durée, relying instead on narratives of collapse informed by limited case studies. We argue for the development of a new interdisciplinary research effort to establish scientific understanding of settlement and settlement system persistence. Such an effort would build upon the many fields that study human settlements to develop new theories and databases from the extensive documentation of ancient and premodern urban systems. A scientific foundation will generate novel insights to advance the field of urban sustainability.

Shared cultural norms for justice in water institutions: results from Fiji, Ecuador, Paraguay, New Zealand, and the U.S.

It is widely agreed that current institutions are insufficient to meet global water challenges, and extensive institutional reforms are needed. To achieve effective local water management, institutional rules should be congruent with local cultural norms. Conversely, a major potential challenge is posed by tensions between institutional rules and local cultural norms for justice. We propose and demonstrate a new approach to cross-cultural analysis designed to investigate this tension, which can assess when local cultural norms are likely to facilitate or impede the acceptance of specific institutional rules. Using data from 238 respondents in five global sites (in Fiji, Ecuador, Paraguay, New Zealand, and the U.S.) analyzed using cultural consensus analysis, we find evidence of culturally-shared norms of justice in water institutions in at least six domains: a human right to water, water governance, water access, environmental stewardship, aspects of water markets, and aspects of water quality and health. Additionally, local cultural models across sites differed on only two topics: (1) ownership and allocation and (2) restrictions and enforcement. Indigenous heritage is the best single predictor of views on controversial institutional rules dealing with water restrictions/enforcement and ownership/allocation. This approach can help build effective water management solutions by identifying cases in which specific institutional reforms are congruent with local cultural norms (or not), and when those will matter most.

An empirical evaluation of private landowner participation in voluntary forest conservation programs.

The use of voluntary programs targeting resource conservation on private land has become increasingly prevalent in environmental policy. Voluntary programs potentially offer significant benefits over regulatory and market-based approaches. This article examines the factors affecting landowner participation in voluntary forest conservation programs using a combination of parcel-level GIS and remotely sensed data and semi-structured interviews of landowners in Monroe County, Indiana. A logistic regression model is applied to determine the probability of participation based on landowner education, membership in other non-forest voluntary programs, dominant land use activity, parcel size, distance from urban center, land resource portfolios, and forest cover. Both land use activity and the spatial configuration of a landholder's resource portfolio are found to be statistically significant with important implications for the design and implementation of voluntary programs.