Physical training in the fire station and firefighters' cardiovascular health.

BACKGROUND: Few fire departments in Québec have a diversified health promotion programme. Yet, many allow firefighters to physically train during working hours. AIMS: To compare the weekly physical activity (PA) level and cardiovascular health indicators of firefighters who physically train on duty to those who do not. METHODS: Participants underwent a cardiovascular health assessment and completed an online questionnaire. RESULTS: One hundred and five full-time male firefighters participated in the study. Two groups were formed: firefighters who physically train while on duty (E, n = 64) and firefighters who do not (NoE, n = 41). Following statistical adjustments, off-duty weekly PA was not different between the two groups (E: 239 ± 224 versus NoE: 269 ± 249 min, P = 0.496); however, total weekly PA was higher (P = 0.035) in E (381 ± 288 min) than in NoE (274 ± 200 min). A difference was also observed in obesity prevalence measured with waist circumference (E: 9% versus NoE: 27%, P = 0.026) and in physical inactivity prevalence (E: 0% versus NoE: 27%, P < 0.001). After statistical adjustments, E firefighters have a significantly lower waist-to-height ratio than NoE firefighters (E: 0.51 ± 0.05 versus NoE: 0.54 ± 0.05, P = 0.017). CONCLUSIONS: Results show that firefighters who physically train while on duty have a higher total PA level on a weekly basis and have better cardiovascular health indicators. Our findings suggest that fire services should promote physical training while on duty to improve firefighters' cardiovascular health.

Cardiovascular disease risk in female firefighters.

BACKGROUND: Female firefighters are in the minority in the Québec firefighter population and worldwide. To our knowledge, no study has focused on cardiovascular risk factors in female firefighters, and further research in this area is needed to evaluate and reduce the risk of on-duty sudden cardiac death. AIMS: To evaluate the prevalence of cardiovascular disease (CVD) risk factors in female firefighters in Québec. METHODS: A cross-sectional study using an online questionnaire to evaluate lifestyle and CVD risk factors and symptoms. RESULTS: Forty-one female firefighters (age: 38.2 ± 9.9 years) participated in this study, representing ~7% of all female Québec firefighters. The prevalence of obesity (body mass index ≥ 30 kg/m2), hypertension, dyslipidaemia, type 2 diabetes mellitus, smoking and physical inactivity was 12% (95% confidence interval [CI] 4-26%), 5% (95% CI 0.6-19%), 5% (95% CI 0.6-19%), 3% (95% CI 0.1-14%), 14% (95% CI 5-29%) and 62% (95% CI 5-7%), respectively. Among survey participants, 76% (59-88%) had moderate to high CVD risk according to the 2013 American College of Sports Medicine guidelines. Eighty-two per cent of participants did not meet the National Fire Protection Association's required cardiorespiratory fitness standard of 12 metabolic equivalents. CONCLUSIONS: A high proportion of female firefighters in this study were at moderate to high risk of CVD. These findings suggest that they would benefit from healthy lifestyle initiatives.

Greater physical fitness is associated with better air ventilation efficiency in firefighters.

Firefighting is a hazardous task associated with a heavy workload where task duration may be limited by air cylinder capacity. Increased fitness may lead to better air ventilation efficiency and task duration at a given heavy work intensity. This study compared performance, air ventilation and skeletal muscle oxygen extraction during a maximal graded walking test (GWT), a 10 METS (metabolic equivalent) treadmill test (T10) and a simulated work circuit (SWC). Participants (n = 13) who performed the SWC in a shorter time had significantly lower air cylinder ventilation values on the T10 (r = -0.495), better peak oxygen consumption (r = -0.924) during the GWT and significantly greater skeletal muscle oxygen extraction during the SWC (HbDiff, r = 0.768). These results demonstrate that the fastest participants on the SWC had better air ventilation efficiency that could prolong interventions in difficult situations requiring air cylinder use.

Diffusion coefficients of several rhodamine derivatives as determined by pulsed field gradient-nuclear magnetic resonance and fluorescence correlation spectroscopy.

Rhodamine derivatives are popular, photostable fluorophores that are used in a number of fluorescent based techniques, including fluorescence correlation spectroscopy (FCS). Indeed, in FCS, both rhodamine 6G (R6G) and rhodamine 110 (R110) are used as calibration standards to determine the dimensions of the instrument confocal volume. In spite of a requirement for precise values of the diffusion coefficients, literature values are scarce and vary over an order of magnitude. In this paper, the diffusion coefficients of four rhodamine fluorophores (rhodamine 6G (R6G), rhodamine B (RB), rhodamine 123 (R123), rhodamine 110 (R110)) were determined by pulsed field gradient nuclear magnetic resonance (PFG-NMR) spectrometry and then validated by comparison with fluorescence correlation spectroscopy. With the objective of validating the FCS calibration, diffusion coefficients of several dextrans and a polystyrene nanoparticle were also determined and compared with literature values or theoretical values that were based upon the Stoke-Einstein equation. The work presented here lead us to conclude that the diffusion coefficients for R6G and R110 have generally been underestimated in the literature. We propose revised values of 4.4x10(-10) m2 s(-1) for R110 and 4.0x10(-10) m2 s(-1) for R6G. Using the revised D value for R110 to calibrate the FCS instrument, diffusion coefficients have then been systematically determined for different conditions of pH, ionic strength and concentration. To correct for differences due to solvent effects (D2O vs. H2O), an isotopic correction factor, DD2O/DH2O of 1.23, was determined from both FCS and from the solvent auto-diffusion coefficients obtained by NMR.

Quantitative analysis of nucleic acid three-dimensional structures.

A new computer program to annotate DNA and RNA three-dimensional structures, MC-Annotate, is introduced. The goals of annotation are to efficiently extract and manipulate structural information, to simplify further structural analyses and searches, and to objectively represent structural knowledge. The input of MC-Annotate is a PDB formatted DNA or RNA three-dimensional structure. The output of MC-Annotate is composed of a structural graph that contains the annotations, and a series of HTML documents, one for each nucleotide conformation and base-base interaction present in the input structure. The atomic coordinates of all nucleotides and the homogeneous transformation matrices of all base-base interactions are stored in the structural graph. Symbolic classifications of nucleotide conformations, using sugar puckering modes and nitrogen base orientations around the glycosyl bond, and base-base interactions, using stacking and hydrogen bonding information, are introduced. Peculiarity factors of nucleotide conformations and base-base interactions are defined to indicate their marginalities with all other examples. The peculiarity factors allow us to identify irregular regions and possible stereochemical errors in 3-D structures without interactive visualization. The annotations attached to each nucleotide conformation include its class, its torsion angles, a distribution of the root-mean-square deviations with examples of the same class, the list of examples of the same class, and its peculiarity value. The annotations attached to each base-base interaction include its class, a distribution of distances with examples of the same class, the list of examples of the same class, and its peculiarity value. The distance between two homogeneous transformation matrices is evaluated using a new metric that distinguishes between the rotation and the translation of a transformation matrix in the context of nitrogen bases. MC-Annotate was used to build databases of nucleotide conformations and base-base interactions. It was applied to the ribosomal RNA fragment that binds to protein L11, which annotations revealed peculiar nucleotide conformations and base-base interactions in the regions where the RNA contacts the protein. The question of whether the current database of RNA three-dimensional structures is complete is addressed.

Pseudoknots in prion protein mRNAs confirmed by comparative sequence analysis and pattern searching.

The human prion gene contains five copies of a 24 nt repeat that is highly conserved among species. An analysis of folding free energies of the human prion mRNA, in particular in the repeat region, suggested biased codon selection and the presence of RNA patterns. In particular, pseudoknots, similar to the one predicted by Wills in the human prion mRNA, were identified in the repeat region of all available prion mRNAs available in GenBank, but not those of birds and the red slider turtle. An alignment of these mRNAs, which share low sequence homology, shows several co-variations that maintain the pseudoknot pattern. The presence of pseudoknots in yeast Sup35p and Rnq1 suggests acquisition in the prokaryotic era. Computer generated three-dimensional structures of the human prion pseudoknot highlight protein and RNA interaction domains, which suggest a possible effect in prion protein translation. The role of pseudoknots in prion diseases is discussed as individuals with extra copies of the 24 nt repeat develop the familial form of Creutzfeldt-Jakob disease.

[Prosecution of psychiatric patients: elements of reflections and practical applications.]. / La judiciarisation des patients psychiatriques : éléments de réflexion et applications pratiques.

Among possible solutions in response to violent behaviours of psychiatric patients, prosecution might not be an alternative as well-known. This measure may be potentially beneficial for patients. How can prosecution be chosen as an option when faced with violent patients? When this option is considered, how should it be applied and what are the different steps to follow? To answer these questions, it appeared essential to first proceed to a comprehensive reflection on the recourse of sanction in psychiatry. We then describe advantages and disadvantages of the judicial process. Finally, we illustrate applications as they were conceived and elaborated at the Clinique de dangerosité de l'Institut Philippe Pinel de Montréal.

Long-term functional end points following middle cerebral artery occlusion in the rat.

The purpose of the present study was to assess the magnitude and stability of a number of functional deficits in rats subjected to occlusion of the middle cerebral artery (MCAO). Three groups of rats, treated with 90-min, 120-min, or sham occlusion were used in functional studies for 22 weeks following surgery. The following tests were used: methamphetamine-induced rotation, the staircase test, acquisition of operant responding, running-wheel behavior, and performance of operant differential reinforcement of a low-rate responding (DRL) schedule of reinforcement. Histology performed at 23 weeks following infarct showed on average modest damage of a 19% reduction in hemispheric volume. Of the behavioral tests conducted, rotation, the staircase test, and the operant DRL were sensitive to ischemic damage, and were under some circumstances related to lesion size. These data show that long-term functional deficits following MCAO are demonstrable, and hence, assessment of long-term neuroprotection is feasible.

Efficacy of AR-R15896AR in the rat monofilament model of transient middle cerebral artery occlusion.

The monofilament technique of transient middle cerebral artery occlusion (MCAO) was used in 3 separate studies to evaluate the efficacy of the low-affinity, use-dependent N-methyl-d-aspartate receptor antagonist, AR-R15896AR. First, a dose-response curve was attempted. Wister Kyoto rats received 2 hours of MCAO. Five minutes later, a 30-minute intravenous infusion of AR-R15896AR was given, followed by subcutaneous implantation of Alzet minipumps that were calibrated to maintain specified plasma levels (approximately 682, 1885, or 2682 ng/mL) of AR-R15896 (free base) for 1 week. The highest plasma level attained significantly decreased the percentage of damage to the subcortex, cortex, and total brain. Second, the high-dose, 1-week treatment regimen was repeated to determine if neuroprotection would extend to 8 weeks after MCAO. Indeed, in separate groups of animals, significant reduction in the percentage of damage, which was generally confined to the cortex and subcortex, was observed at 1, 2, 4, and 8 weeks. Third, verification was achieved in another laboratory. Lister Hooded rats received 60 minutes of transient MCAO. At 70 minutes, an acute dose of AR-R15896AR (20.3 mg/kg) was injected intraperitoneally and the rats were killed 23 hours later. This treatment group also exhibited significant reduction in the volume of infarction in the subcortex, cortex, and total brain. The outcome of these investigations supports the ongoing Phase II clinical trials in patients with acute stroke.

[An inventory for the evaluation of dangerousness in mental patients]. / Un inventaire pour l'évaluation de la dangerosité des patients psychiatriques.

The authors of the article propose an inventory for the systematic assessment of the dangerousness of psychiatric patients. This clinical tool is qualitative and is helpful in a case-by-case approach. The prediction of violent behaviour is discussed; quantitative and qualitative research perspectives are also mentioned.