1,394 research outputs found
Depression and Obstructive Sleep Apnea (OSA)
For over two decades clinical studies have been conducted which suggest the existence of a relationship between depression and Obstructive Sleep Apnea (OSA). Recently, Ohayon underscored the evidence for a link between these two disorders in the general population, showing that 800 out of 100,000 individuals had both, a breathing-related sleep disorder and a major depressive disorder, with up to 20% of the subjects presenting with one of these disorders also having the other. In some populations, depending on age, gender and other demographic and health characteristics, the prevalence of both disorders may be even higher: OSA may affect more than 50% of individuals over the age of 65, and significant depressive symptoms may be present in as many as 26% of a community-dwelling population of older adults. In clinical practice, the presence of depressive symptomatology is often considered in patients with OSA, and may be accounted for and followed-up when considering treatment approaches and response to treatment. On the other hand, sleep problems and specifically OSA are rarely assessed on a regular basis in patients with a depressive disorder. However, OSA might not only be associated with a depressive syndrome, but its presence may also be responsible for failure to respond to appropriate pharmacological treatment. Furthermore, an undiagnosed OSA might be exacerbated by adjunct treatments to antidepressant medications, such as benzodiazepines. Increased awareness of the relationship between depression and OSA might significantly improve diagnostic accuracy as well as treatment outcome for both disorders. In this review, we will summarize important findings in the current literature regarding the association between depression and OSA, and the possible mechanisms by which both disorders interact. Implications for clinical practice will be discussed
Personalentwicklung von Nachwuchswissenschaftlern. Eine empirische Studie bei Habilitanden des Fachs "Betriebswirtschaftslehre"
Becker FG, Schröder C. Personalentwicklung von Nachwuchswissenschaftlern. Eine empirische Studie bei Habilitanden des Fachs "Betriebswirtschaftslehre". Diskussionspapier der Fakultät für Wirtschaftswissenschaften / Universität Bielefeld. Vol 504. Bielefeld: Universität Bielefeld, Fakultät für Wirtschaftswissenschaften; 2003
Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified
IntroductionAutism Spectrum Disorder (ASD) diagnosis is relatively consensual in typical forms. The margins of the spectrum and their degree of extension, however, are controversial. This has far-reaching implications, which extend beyond theoretical considerations: first, peripheral forms of autism are more prevalent than central forms; second, we do not know how relevant typical-targeted recommendations are for atypical forms. In DSM-IV-TR, these margins of autism were studied within the category of Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS). In spite of its low reliability, this former diagnosis was of particular interest to shed light on the gray area of margins. The aim of this systematic is therefore to investigate the clinical characteristics of PDD-NOS in comparison with Autistic Disorder.MethodA stepwise systematic PRISMA literature review was conducted by searching PubMed and Web Of Science databases to select corresponding studies.ResultsThe systematic review included 81 studies comprising 6,644 children with PDD-NOS. Cross-sectional and longitudinal studies comparing PDD-NOS and AD showed that PDD-NOS corresponds to milder form of autism with less impact and less associated disorder, with the exception of schizophrenia and mood disorder.DiscussionOur review challenges initial views of PDD-NOS, and shows the clinical relevance of this diagnosis when dealing with the margins of autism, and the de facto diversity included in the spectrum. However, in view of the many limitations of PDD-NOS (low reliability, instability through time, low acceptability), we suggest taxonomic changes in DSM-5: we introduce a new category based on three main dimensions related to socialization impairment, emotional lability and psychotic symptoms.ConclusionOur review argues for a distinction between AD and PDD-NOS on clinical characteristics and thus highlights the need to study the margins of autism. While the limitations of the PDD-NOS category made it irrelevant to investigate these margins from a research perspective, we believe that a multidimensional approach for mental health professionals taping socialization, emotion lability and psychotic symptoms would be interesting. Our review therefore encourage future studies to test relevant criteria for a new category and possibly identify developmental trajectories, specific interventions and treatments
Directing two-dimensional molecular crystallization using guest templates
This is the Accepted Manuscript of the following article: Blunt, M., Lin, X., Gimenez López, M.C., Schröder, M., Champness, N.R., Beton, P.H. Chemical Communications, 2008, DOI:10.1039/B801267AThe use of a coronene guest template directs the formation
of a 2D Kagome´network in preference to alternative close
packed and parallel hydrogen-bonded structures of
tetracarboxylic acid tectons self-assembled from solution
on a graphite surface.S
Teaching Ethics in Schools of Public Health in the European Region: Findings from a Screening Survey
Biomimetic chitosan-mediated synthesis in heterogeneous phase of bulk and mesoporous silica nanoparticles
Both bulk and mesoporous silica nanoparticles can be obtained in the form of granular aggregates using chitosan flakes as additive under very soft biomimetic reaction conditions.Puchol Estors, Victoria, [email protected] ; El Haskouri, Jamal, [email protected] ; Latorre Saborit, Julio, [email protected] ; Beltran Porter, Aurelio, [email protected] ; Beltran Porter, Daniel, [email protected] ; Amoros del Toro, Pedro Jose, [email protected]
European communication networks in the Early Modern Age
Recent contributions to knowledge about early journalism developed in different parts of Europe*Italy, France, England, Germany, the Netherlands, Portugal, Spain . . . *have made it possible to trace a fairly precise map for the historical origin of this phenomenon. However, the scope of work carried out with a view to developing frameworks of interpretation to explain the reasons for this appearance is not as far-reaching. This paper reviews the recurring theoretical models found to date in the specific bibliography and proposes a new framework of interpretation, capable of encompassing the complexity and pan-European nature of early journalism in history
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L1 transfer in the acquisition of manner and path in Spanish by native speakers of English
In this article the authors argue that L1 transfer from English is not only important in the early stages of L2 acquisition of Spanish, but remains influential in later stages if there is not enough positive evidence for the learners to progress in their development (Lefebvre, White, & Jourdan, 2006). The findings are based on analyses of path and manner of movement in stories told by British students of Spanish (N = 68) of three different proficiency levels. Verbs that conflate motion and path, on the one hand, are mastered early, possibly because the existence of Latinate path verbs, such as enter and ascend in English, facilitate their early acquisition by British learners of Spanish. Contrary to the findings of Cadierno (2004) and Cadierno and Ruiz (2006), the encoding of manner, in particular in boundary crossing contexts, seems to pose enormous difficulties, even among students who had been abroad on a placement in a Spanish-speaking country prior to the data collection. An analysis of the frequency of manner verbs in Spanish corpora shows that one of the key reasons why students struggle with manner is that manner verbs are so infrequent in Spanish. The authors claim that scarce positive evidence in the language exposed to and little or no negative evidence are responsible for the long-lasting effect of transfer on the expression of manner
Compilation and R-matrix analysis of Big Bang nuclear reaction rates
We use the R-matrix theory to fit low-energy data on nuclear reactions
involved in Big Bang nucleosynthesis. A special attention is paid to the rate
uncertainties which are evaluated on statistical grounds. We provide S factors
and reaction rates in tabular and graphical formats.Comment: 40 pages, accepted for publication at ADNDT, web site at
http://pntpm3.ulb.ac.be/bigban
Broken symmetry and the variation of critical properties in the phase behaviour of supramolecular rhombus tilings
The degree of randomness, or partial order, present in two-dimensional
supramolecular arrays of isophthalate tetracarboxylic acids is shown to vary
due to subtle chemical changes such as the choice of solvent or small
differences in molecular dimensions. This variation may be quantified using an
order parameter and reveals a novel phase behaviour including random tiling
with varying critical properties as well as ordered phases dominated by either
parallel or non-parallel alignment of neighbouring molecules, consistent with
long-standing theoretical studies. The balance between order and randomness is
driven by small differences in the intermolecular interaction energies, which
we show, using numerical simulations, can be related to the measured order
parameter. Significant variations occur even when the energy difference is much
less than the thermal energy highlighting the delicate balance between entropic
and energetic effects in complex self-assembly processes
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