A Retrospective Review of Supratherapeutic Modafinil Exposures

Modafinil is a non-amphetamine wakefulness-promoting agent used for the treatment of various sleep disorders characterized by excessive daytime sleepiness. There is little information in the medical literature with respect to supratherapeutic doses of this medication. We performed a retrospective review of the California Poison Control System database for all cases of single-substance ingestion of modafinil with follow-up to a known outcome for the time period 1998–2008. Data collected included age, gender, dose ingested, clinical effects, and medical outcome. There were a total of 87 patients, 53 (61%) of which were female. Patient ages ranged from 1.25 to 72 years with a mean of 30 years; 17 (20%) patients were aged 6 years or less. Thirty-three (38%) were intentional overdoses. Most commonly reported effects were tachycardia (n = 23), agitation (n = 14), anxiety (n = 11), headache (n = 8), hypertension (n = 6), dystonia/tremor (n = 6), and dizziness (n = 5). Forty-nine patients (56%) were managed at home, and 38 (44%) were managed in a healthcare setting. Therapies administered included activated charcoal (n = 8), benzodiazepines (n = 7), antihistamines (n = 2), intravenous fluids (n = 2), haloperidol (n = 2), and beta-blockers (n = 1). Effects were classified as none (n = 22), minor (n = 54), and moderate (n = 11). No major effects and no deaths occurred. Effects of modafinil overdose appear to be mild in most cases, with tachycardia and CNS symptoms predominating. Clinically significant effects requiring treatment occurred in a small number of patients

Self-compassion and bedtime procrastination: an emotion regulation perspective

The current study extended previous research on self-compassion and health behaviours by examining the associations of self-compassion to bedtime procrastination, an important sleep-related behaviour. We hypothesized that lower negative affect and adaptive emotion regulation would explain the proposed links between self-compassion and less bedtime procrastination. Two cross-sectional online studies were conducted. Study 1 included 134 healthy individuals from the community (mean age 30.22, 77.4% female). Study 2 included 646 individuals from the community (mean age 30.74, 68.9% female) who were screened for the absence of clinical insomnia. Participants in both studies completed measures of self-compassion, positive and negative affect and bedtime procrastination. Participants in study 2 also completed a measure of cognitive reappraisal. Multiple mediation analysis in study 1 revealed the expected indirect effects of self-compassion on less bedtime procrastination through lower negative affect [b = − .09, 95% CI = (− .20, − .02), but not higher positive affect. Path analysis in study 2 replicated these findings and further demonstrated that cognitive reappraisal explained the lower negative affect linked to self-compassion [b = − .011; 95% CI = (− .025; − .003)]. The direct effect of self-compassion on less bedtime procrastination remained significant. Our novel findings provide preliminary evidence that self-compassionate people are less likely to engage in bedtime procrastination, due in part to their use of healthy emotion regulation strategies that downregulate negative mood

A new measure of longitudinal connectivity for stream networks

Habitat connectivity is a central factor in shaping aquatic biological communities, but few tools exist to describe and quantify this attribute at a network scale in riverine systems. Here, we develop a new index to quantify longitudinal connectivity of river networks based on the expected probability of an organism being able to move freely between two random points of the network. We apply this index to two fish life histories and evaluate the effects of the number, passability, and placement of barriers on river network connectivity through the use of simulated dendritic ecological networks. We then extend the index to a real world dendritic river system in Newfoundland, Canada. Our results indicate that connectivity in river systems, as represented by our index, is most impacted by the first few barriers added to the system. This is in contrast to terrestrial systems, which are more resilient to low levels of connectivity. The results show a curvilinear relationship between barrier passability and structural connectivity. This suggests that an incremental improvement in passability would result in a greater improvement to river network connectivity for more permeable barriers than for less permeable barriers. Our analysis of the index in simulated and real river networks also showed that barrier placement played an important role in connectivity. Not surprisingly, barriers located near the river mouth have the greatest impact on fish with diadromous life histories while those located near the center of the river network have the most impact on fish with potadromous life histories. The proposed index is conceptually simple and sufficiently flexible to deal with variations in river structure and biological communities. The index will enable researchers to account for connectivity in habitat studies and will also allow resource managers to characterize watersheds, assess cumulative impacts of multiple barriers and determine priorities for restoration