1,042 research outputs found

    Sleep During Pregnancy: The nuMoM2b Pregnancy and Sleep Duration and Continuity Study

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    Study Objectives: To characterize sleep duration, timing and continuity measures in pregnancy and their association with key demographic variables. Methods: Multisite prospective cohort study. Women enrolled in the nuMoM2b study (nulliparous women with a singleton gestation) were recruited at the second study visit (16-21 weeks of gestation) to participate in the Sleep Duration and Continuity substudy. Women <18 years of age or with pregestational diabetes or chronic hypertension were excluded from participation. Women wore a wrist activity monitor and completed a sleep log for 7 consecutive days. Time in bed, sleep duration, fragmentation index, sleep efficiency, wake after sleep onset, and sleep midpoint were averaged across valid primary sleep periods for each participant. Results: Valid data were available from 782 women with mean age of 27.3 (5.5) years. Median sleep duration was 7.4 hours. Approximately 27.9% of women had a sleep duration of 9 hours. In multivariable models including age, race/ethnicity, body mass index, insurance status, and recent smoking history, sleep duration was significantly associated with race/ethnicity and insurance status, while time in bed was only associated with insurance status. Sleep continuity measures and sleep midpoint were significantly associated with all covariates in the model, with the exception of age for fragmentation index and smoking for wake after sleep onset. Conclusions: Our results demonstrate the relationship between sleep and important demographic characteristics during pregnancy

    Multi-Wavelength Observations Of A New Redback Millisecond Pulsar 4FGL J1910.7-5320

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    We present the study of multi-wavelength observations of an unidentified Fermi Large Area Telescope (LAT) source, 4FGL J1910.7-5320, a new candidate redback millisecond pulsar binary. In the 4FGL 95% error region of 4FGL J1910.7-5320, we find a possible binary with a 8.36-hr orbital period from the Catalina Real-Time Transient Survey (CRTS), confirmed by optical spectroscopy using the SOAR telescope. This optical source was recently independently discovered as a redback pulsar by the TRAPUM project, confirming our prediction. We fit the optical spectral energy distributions of 4FGL J1910.7-5320 with a blackbody model, inferring a maximum distance of 4.1 kpc by assuming that the companion fills its Roche-lobe with a radius of R = 0.7R_sun. Using a 12.6 ks Chandra X-ray observation, we identified an X-ray counterpart for 4FGL J1910.7-5320, with a spectrum that can be described by an absorbed power-law with a photon index of 1.0+/-0.4. The spectrally hard X-ray emission shows tentative evidence for orbital variability. Using more than 12 years of Fermi-LAT data, we refined the position of the {\gamma}-ray source, and the optical candidate still lies within the 68% positional error circle. In addition to 4FGL J1910.7-5320, we find a variable optical source with a periodic signal of 4.28-hr inside the 4FGL catalog 95% error region of another unidentified Fermi source, 4FGL J2029.5-4237. However, the {\gamma}-ray source does not have a significant X-ray counterpart in a 11.7 ks Chandra observation, with a 3-{\sigma} flux upper limit of 2.4*10^-14 erg cm^-2 s^-1 (0.3-7 keV). Moreover, the optical source is outside our updated Fermi-LAT 95% error circle. These observational facts all suggest that this new redback millisecond pulsar powers the {\gamma}-ray source 4FGL J1910.7-5320 while 4FGL J2029.5-4237 is unlikely the {\gamma}-ray counterpart to the 4.28-hr variable.Comment: Accepted for publication in Ap

    D\u27Amico Risk Stratification Correlates with Degree of Suspicion of Prostate Cancer on Multiparametric Magnetic Resonance Imaging.

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    PURPOSE: We determined whether there is a correlation between D\u27Amico risk stratification and the degree of suspicion of prostate cancer on multiparametric magnetic resonance imaging based on targeted biopsies done with our electromagnetically tracked magnetic resonance imaging/ultrasound fusion platform. MATERIALS AND METHODS: A total of 101 patients underwent 3 Tesla multiparametric magnetic resonance imaging of the prostate, consisting of T2, dynamic contrast enhanced, diffusion weighted and spectroscopy images in cases suspicious for or with a diagnosis of prostate cancer. All prostate magnetic resonance imaging lesions were then identified and graded by the number of positive modalities, including low-2 or fewer, moderate-3 and high-4 showing suspicion on multiparametric magnetic resonance imaging. The biopsy protocol included standard 12-core biopsy, followed by real-time magnetic resonance imaging/ultrasound fusion targeted biopsies of the suspicious magnetic resonance lesions. Cases and lesions were stratified by the D\u27Amico risk stratification. RESULTS: In this screening population 90.1% of men had a negative digital rectal examination. Mean±SD age was 62.7±8.3 years and median prostate specific antigen was 5.8 ng/ml. Of the cases 54.5% were positive for cancer on protocol biopsy. Chi-square analysis revealed a statistically significant correlation between magnetic resonance suspicion and D\u27Amico risk stratification (p CONCLUSIONS: Our data support the notion that using multiparametric magnetic resonance prostate imaging one may assess the degree of risk associated with magnetic resonance visible lesions in the prostate

    Data mining to identify risk factors associated with university students dropout

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    . This paper presents the identification of university students dropout patterns by means of data mining techniques. The database consists of a series of questionnaires and interviews to students from several universities in Colombia. The information was processed by the Weka software following the Knowledge Extraction Process methodology with the purpose of facilitating the interpretation of results and finding useful knowledge about the students. The partial results of data mining processing on the information about the generations of students of Industrial Engineering from 2016 to 2018 are analyzed and discussed, finding relationships between family, economic, and academic issues that indicate a probable desertion risk in students with common behaviors. These relationships provide enough and appropriate information for the decision-making process in the treatment of university dropout.Universidad Peruana de Ciencias Aplicadas, Universidad de la Costa, Universidad Libre Seccional Barranquilla, Corporación Universitaria Latinoamericana

    Modern microwave methods in solid state inorganic materials chemistry: from fundamentals to manufacturing

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    Objectively measured short sleep duration and later sleep midpoint in pregnancy are associated with a higher risk of gestational diabetes

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    BACKGROUND: Experimental and epidemiologic data suggest that among nonpregnant adults, sleep duration may be an important risk factor for chronic disease. Although pregnant women commonly report poor sleep, few studies objectively evaluated the quality of sleep in pregnancy or explored the relationship between sleep disturbances and maternal and perinatal outcomes. OBJECTIVE: Our objective was to examine the relationship between objectively assessed sleep duration, timing, and continuity (measured via wrist actigraphy) and maternal cardiovascular and metabolic morbidity specific to pregnancy. STUDY DESIGN: This was a prospective cohort study of nulliparous women. Women were recruited between 16 0/7 and 21 6/7 weeks' gestation. They were asked to wear a wrist actigraphy monitor and complete a daily sleep log for a period of 7 consecutive days. The primary sleep exposure variables were the averages of the following over the total valid nights (minimum 5, maximum 7 nights): short sleep duration during the primary sleep period (5 am), and top quartile of minutes of wake time after sleep onset and sleep fragmentation index. The primary outcomes of interest were a composite of hypertensive disorders of pregnancy (mild, severe, or superimposed preeclampsia; eclampsia; or antepartum gestational hypertension) and gestational diabetes mellitus. We used χ2 tests to assess associations between sleep variables and categorical baseline characteristics. Crude odds ratios and 95% confidence intervals were estimated from univariate logistic regression models to characterize the magnitude of the relationship between sleep characteristics and hypertensive disorders of pregnancy and gestational diabetes. For associations significant in univariate analysis, multiple logistic regression was used to explore further the association of sleep characteristics with pregnancy outcomes. RESULTS: In all, 901 eligible women consented to participate; 782 submitted valid actigraphy studies. Short sleep duration and a later sleep midpoint were associated with an increased risk of gestational diabetes (odds ratio, 2.24; 95% confidence interval, 1.11-4.53; and odds ratio, 2.58; 95% confidence interval, 1.24-5.36, respectively) but not of hypertensive disorders. A model with both sleep duration and sleep midpoint as well as their interaction term revealed that while there was no significant interaction between these exposures, the main effects of both short sleep duration and later sleep midpoint with gestational diabetes remained significant (adjusted odds ratio, 2.06; 95% confidence interval, 1.01-4.19; and adjusted odds ratio, 2.37; 95% confidence interval, 1.13-4.97, respectively). Additionally, after adjusting separately for age, body mass index, and race/ethnicity, both short sleep duration and later sleep midpoint remained associated with gestational diabetes. No associations were demonstrated between the sleep quality measures (wake after sleep onset, sleep fragmentation) and hypertensive disorders or gestational diabetes. CONCLUSION: Our results demonstrate a relationship between short sleep duration and later sleep midpoint with gestational diabetes. Our data suggest independent contributions of these 2 sleep characteristics to the risk for gestational diabetes in nulliparous women
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