Magnesium supplementation for the treatment of restless legs syndrome and periodic limb movement disorder : A systematic review

Magnesium supplementation is often suggested for restless legs syndrome (RLS) or period limb movement disorder (PLMD) based on anecdotal evidence that it relieves symptoms and because it is also commonly recommended for leg cramps. We aimed to review all articles reporting the effects of magnesium supplementation on changes in RLS and/or PLMD. We conducted a systematic search looking for all relevant articles and then two reviewers read all article titles and abstracts to identify relevant studies. Eligible studies were scored for their quality as interventional trials. We found 855 abstracts and 16 of these could not be definitively excluded for not addressing all aspects of our research question. Seven full-text articles were unlocatable and one was ineligible which left eight studies with relevant data. One was a randomised placebo-controlled trial, three were case series and four were case studies. The RCT did not find a significant treatment effect of magnesium but may have been underpowered. After quality appraisal and synthesis of the evidence we were unable to make a conclusion as to the effectiveness of magnesium for RLS/PLMD. It is not clear whether magnesium helps relieve RLS or PLMD or in which patient groups any benefit might be seen. (c) 2019 Elsevier Ltd. All rights reserved.Peer reviewe

Genome-wide association analysis of insomnia complaints identifies risk genes and genetic overlap with psychiatric and metabolic traits.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked FilesPersistent insomnia is among the most frequent complaints in general practice. To identify genetic factors for insomnia complaints, we performed a genome-wide association study (GWAS) and a genome-wide gene-based association study (GWGAS) in 113,006 individuals. We identify three loci and seven genes associated with insomnia complaints, with the associations for one locus and five genes supported by joint analysis with an independent sample (n = 7,565). Our top association (MEIS1, P < 5 × 10-8) has previously been implicated in restless legs syndrome (RLS). Additional analyses favor the hypothesis that MEIS1 exhibits pleiotropy for insomnia and RLS and show that the observed association with insomnia complaints cannot be explained only by the presence of an RLS subgroup within the cases. Sex-specific analyses suggest that there are different genetic architectures between the sexes in addition to shared genetic factors. We show substantial positive genetic correlation of insomnia complaints with internalizing personality traits and metabolic traits and negative correlation with subjective well-being and educational attainment. These findings provide new insight into the genetic architecture of insomnia.Netherlands Organization for Scientific Research NWO Brain & Cognition 433-09-228 European Research Council ERC-ADG-2014-671084 INSOMNIA Netherlands Scientific Organization (NWO) VU University (Amsterdam, the Netherlands) Dutch Brain Foundation Helmholtz Zentrum Munchen - German Federal Ministry of Education and Research state of Bavaria German Migraine & Headache Society (DMKG) Almirall AstraZeneca Berlin Chemie Boehringer Boots Health Care GlaxoSmithKline Janssen Cilag McNeil Pharma MSD Sharp Dohme Pfizer Institute of Epidemiology and Social Medicine at the University of Munster German Ministry of Education and Research (BMBF) German Restless Legs Patient Organisation (RLS Deutsche Restless Legs Vereinigung) Swiss RLS Patient Association (Schweizerische Restless Legs Selbsthilfegruppe

Influence of slag composition on the hydration of alkali-activated slags

International audienceThe hydration of different blast-furnace slags with sodium metasilicate or NaOH as activator was investigated. Sodium metasilicate shows poor strength after 1 day, but high strength after 7 days and beyond, whereas NaOH activation leads to high strength after 1 day , but only moderate strength development at later ages. At the same hydration degree, sodium metasilicate activation gives a much higher compressive strength than NaOH activation. This is due to the formation of a dense hydration product in the NaOH-activated system at the early age, which leads to a more porous microstructure than in the case of sodium metasilicate. A higher MgO content in the slags is beneficial with respect to faster hydration kinetics and a more rapid strength development. Increasing Al2O3 contents lead to slightly slower hydration kinetics and slightly lower compressive strengths. The best correlation between compressive strength and slag composition was found using the extended basicity (CaO + MgO)/SiO2 index

Improving indoor localisation of firefighters based on inertial measurements

Knowing firefighters&rsquo; locations in a burning building would dramatically improve their safety. In this study from the Saxion Research Centre for Design and Technology in the Firebee project, an algorithm was developed and tested to enhance the estimation of a person&rsquo;s location, based on inertial measurements combined with measurements of the earth&rsquo;s magnetic field. The developed algorithm is an extension of the zero velocity update technique. Without any enhancements, the accuracy of the estimation is in the order of several meters after measuring for only a few seconds. With enhancements, the accuracy improved to be within five meters after measuring for ten minutes. Our result demonstrated that it is possible to determine in which room and on which floor a person is after ten minutes. Major improvements were observed in the estimation of the sensor&rsquo;s height. The results are promising and the following phases of the project focus on improving the solution and on developing the concept into a practically applicable system

Review of induced seismicity in geothermal systems worldwide and implications for geothermal systems in the Netherlands

Geothermal energy is a viable alternative to gas for the heating of buildings, industrial areas and greenhouses, and can thus play an important role in making the transition to sustainable energy in the Netherlands. Heat is currently produced from the Dutch subsurface through circulation of water between two wells in deep (1.5–3 km) geothermal formations with temperature of up to ∼100 °C. As the number of these so-called doublets is expected to increase significantly over the next decades, and targeted depths and temperatures increase, it is important to assess potential show-stoppers related to geothermal operations. One of these potential hazards is the possibility of the occurrence of felt seismic events, which could potentially damage infrastructure and housing, and affect public support. Such events have been observed in several geothermal systems in other countries. Here we review the occurrence (or the lack) of felt seismic events in geothermal systems worldwide and identify key factors influencing the occurrence and magnitude of these events. Based on this review, we project the findings for seismicity in geothermal systems to typical geothermal formations and future geothermal developments in the Netherlands. The case study review shows that doublets that circulate fluids through relatively shallow, porous, sedimentary aquifers far from the crystalline basement are unlikely to generate felt seismic events. On the other hand, stimulations or circulations in or near competent, fractured, basement rocks and production and reinjection operations in high-temperature geothermal fields are more prone to induce felt events, occasionally with magnitudes of M > 5.0. Many of these operations are situated in tectonically active areas, and stress and temperature changes may be large. The presence of large, optimally oriented and critically stressed faults increases the potential for induced seismicity. The insights from the case study review suggest that the potential for the occurrence of M > 2.0 seismicity for geothermal operations in several of the sandstone target formations in the Netherlands is low, especially if faults can be avoided. The potential for induced seismicity may be moderate for operations in faulted carbonate rocks. Induced seismicity always remains a complex and site-specific process with large unknowns, and can never be excluded entirely. However, assessing the potential for inducing felt seismic events can be improved by considering the relevant (site-specific) geological and operational key factors discussed in this article

Haunted by the past: old emotions remain salient in insomnia disorder.

Studies suggest that sleep supports persistent changes in the neuronal representation of emotional experiences such that they are remembered better and less distressful when recalled than when they were first experienced. It is conceivable that sleep fragmentation by arousals, a key characteristic of insomnia disorder, could hamper the downregulation of distress. In this study, we sought further support for the idea that insomnia disorder may involve a lasting deficiency to downregulate emotional distress. We used functional MRI in insomnia disorder (n = 27) and normal sleepers (n = 30) to identify how brain activation differs between novel and relived self-conscious emotions. We evaluated whether brain activity elicited by reliving emotional memories from the distant past resembles the activity elicited by novel emotional experiences more in insomnia disorder than in normal sleepers. Limbic areas were activated during novel shameful experiences as compared to neutral experiences in both normal sleepers and insomnia disorder. In normal sleepers, reliving of shameful experiences from the past did not elicit a limbic response. In contrast, participants with insomnia disorder recruited overlapping parts of the limbic circuit, in particular the dorsal anterior cingulate cortex, during both new and relived shameful experiences. The differential activity patterns with new and old emotions in normal sleepers suggest that reactivation of the long-term memory trace does not recruit the limbic circuit. The overlap of activations in insomnia disorder is in line with the hypothesis that the disorder involves a deficiency to dissociate the limbic circuit from the emotional memory trace. Moreover, the findings provide further support for a role of the anterior cingulate cortex in insomnia

Review of induced seismicity in geothermal systems worldwide and implications for geothermal systems in the Netherlands

Geothermal energy is a viable alternative to gas for the heating of buildings, industrial areas and greenhouses, and can thus play an important role in making the transition to sustainable energy in the Netherlands. Heat is currently produced from the Dutch subsurface through circulation of water between two wells in deep (1.5–3 km) geothermal formations with temperature of up to ∼100 °C. As the number of these so-called doublets is expected to increase significantly over the next decades, and targeted depths and temperatures increase, it is important to assess potential show-stoppers related to geothermal operations. One of these potential hazards is the possibility of the occurrence of felt seismic events, which could potentially damage infrastructure and housing, and affect public support. Such events have been observed in several geothermal systems in other countries. Here we review the occurrence (or the lack) of felt seismic events in geothermal systems worldwide and identify key factors influencing the occurrence and magnitude of these events. Based on this review, we project the findings for seismicity in geothermal systems to typical geothermal formations and future geothermal developments in the Netherlands. The case study review shows that doublets that circulate fluids through relatively shallow, porous, sedimentary aquifers far from the crystalline basement are unlikely to generate felt seismic events. On the other hand, stimulations or circulations in or near competent, fractured, basement rocks and production and reinjection operations in high-temperature geothermal fields are more prone to induce felt events, occasionally with magnitudes of M > 5.0. Many of these operations are situated in tectonically active areas, and stress and temperature changes may be large. The presence of large, optimally oriented and critically stressed faults increases the potential for induced seismicity. The insights from the case study review suggest that the potential for the occurrence of M > 2.0 seismicity for geothermal operations in several of the sandstone target formations in the Netherlands is low, especially if faults can be avoided. The potential for induced seismicity may be moderate for operations in faulted carbonate rocks. Induced seismicity always remains a complex and site-specific process with large unknowns, and can never be excluded entirely. However, assessing the potential for inducing felt seismic events can be improved by considering the relevant (site-specific) geological and operational key factors discussed in this article

Insomnia heterogeneity : Characteristics to consider for data-driven multivariate subtyping

Meta-analyses and systematic reviews have reported surprisingly few consistent insomnia-characteristics with respect to cognitions, mood, traits, history of life events and family history. One interpretation of this limited consistency is that different subtypes of insomnia exist, each with its own specific multivariate profile of characteristics. Because previously unrecognized subtypes will be differentially represented in individual studies and dilute effect sizes of subtype-dependent characteristics of importance, they are unlikely to be reported consistently in individual studies, let alone in meta-analyses. This review therefore aims to complement meta-analyses by listing previously reported psychometric characteristics of insomnia, irrespective of the degree of consistency over studies. The review clearly indicates that characteristics of insomnia may not be limited to sleep. Reports suggest that at least some individuals with insomnia may deviate from people without sleep complaints with respect to demographics, mental and physical health, childhood trauma, life events, fatigue, sleepiness, hyperarousal, hyperactivity, other sleep disorders, lifetime sleep history, chronotype, depression, anxiety, mood, quality of life, personality, happiness, worry, rumination, self-consciousness, sensitivity, dysfunctional beliefs, self-conscious emotion regulation, coping, nocturnal mentation, wake resting-state mentation, physical activity, food intake, temperature perception and hedonic evaluation. The value of this list of characteristics is that 1) internet has now made it feasible to asses them all in a large sample of people suffering from insomnia, and 2) statistical methods like latent class analysis and community detection can utilize them for a truly bottom–up data-driven search for subtypes. The supplement to this review provides a blueprint of this multivariate approach as implemented in the Sleep registry platform (www.sleepregistry.nl), that allows for bottom–up subtyping and fosters cross-cultural comparison and worldwide collaboration on insomnia subtype finding – and beyond