Colonoscopy quality across Europe : a report of the European Colonoscopy Quality Investigation (ECQI) Group

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Bacillus cereus Spores Release Alanine that Synergizes with Inosine to Promote Germination

spores germinate in the presence of a single germinant, inosine, yet with a significant lag period. spores. spores appear to have developed a unique quorum-sensing feedback mechanism to monitor spore density and to coordinate germination

Themenheft 27 "Schlafstörungen"

Schlafstörungen zählen zu den häufigen Beschwerden. So klagen 25 % der Bevölkerung über Schlafstörungen und 11 % erleben ihren Schlaf als »häufig nicht erholsam«. Über die unmittelbaren Folgen für die Betroffenen hinaus, verursachen schlafmedizinische Erkrankungen kostenträchtige Schäden für die Gesellschaft, z. B. durch Einschlafen am Steuer. Das Themenheft behandelt Grundlagen des normalen und gestörten Schlafs sowie die Prävention, Diagnostik und Therapie der schlafmedizinischen Erkrankungen

Standard procedures for adults in accredited sleep medicine centres in Europe

The present paper describes standardized procedures within clinical sleep medicine. As such, it is a continuation of the previously published European guidelines for the accreditation of sleep medicine centres and European guidelines for the certification of professionals in sleep medicine, aimed at creating standards of practice in European sleep medicine. It is also part of a broader action plan of the European Sleep Research Society, including the process of accreditation of sleep medicine centres and certification of sleep medicine experts, as well as publishing the Catalogue of Knowledge and Skills for sleep medicine experts (physicians, non-medical health care providers, nurses and technologists), which will be a basis for the development of relevant educational curricula. In the current paper, the standard operational procedures sleep medicine centres regarding the diagnostic and therapeutic management of patients evaluated at sleep medicine centres, accredited according to the European Guidelines, are based primarily on prevailing evidence-based medicine principles. In addition, parts of the standard operational procedures are based on a formalized consensus procedure applied by a group of Sleep Medicine Experts from the European National Sleep Societies. The final recommendations for standard operational procedures are categorized either as 'standard practice', 'procedure that could be useful', 'procedure that is not useful' or 'procedure with insufficient information available'. Standard operational procedures described here include both subjective and objective testing, as well as recommendations for follow-up visits and for ensuring patients' safety in sleep medicine. The overall goal of the actual standard operational procedures is to further develop excellence in the practice and quality assurance of sleep medicine in Europe