Interventions to improve the sleep quality of adults with personality disorder: a systematic review

Poor quality sleep is common for people who have a diagnosis of personality disorder (PD). Core cognitive and behavioral features of PD may cause and perpetuate poor sleep, but to date, no review has collated the evidence on the efficacy of interventions to improve sleep quality for people with PD. Structured searches for interventional studies among adults with PD and reporting validated measures of sleep quality were conducted up to November 2022 in multiple databases. Single-case reports were excluded. Study quality was assessed with standardized risk of bias tools. Unreported data was sought systematically from authors. This review was pre-registered with an international prospective register of systematic reviews (PROSPERO) (CRD42021282105). Of the 3503 identified studies, nine met inclusion criteria, representing a range of psychological, pharmaceutical, and other interventions and outcome measures. Meta-analytic methods were not feasible because of the serious risk of bias in all studies, and results were therefore synthesized narratively. There is limited and low-quality evidence of the effects of a variety of interventions to improve the sleep quality of people living with PD. Further research might consider specifically including people diagnosed with PD in trials of sleep interventions and using sleep outcome measures in trials of established PD treatments

On the Role of Global Magnetic Field Configuration in Affecting Ring Current Dynamics

Plasma and field interaction is one important aspect of inner magnetospheric physics. The magnetic field controls particle motion through gradient, curvature drifts and E cross B drift. In this presentation, we show how the global magnetic field affects dynamics of the ring current through simulations of two moderate geomagnetic storms (20 November 2007 and 8-9 March 2008). Preliminary results of coupling the Comprehensive Ring Current Model (CRCM) with a three-dimensional plasma force balance code (to achieve self-consistency in both E and B fields) indicate that inclusion of self-consistency in B tends to mitigate the intensification of the ring current as other similar coupling efforts have shown. In our approach, self-consistency in the electric field is already an existing capability of the CRCM. The magnetic self-consistency is achieved by computing the three-dimensional magnetic field in force balance with anisotropic ring current ion distributions. We discuss the coupling methodology and its further improvement. In addition, comparative studies by using various magnetic field models will be shown. Simulation results will be put into a global context by analyzing the morphology of the ring current, its anisotropy and characteristics ofthe interconnected region 2 field-aligned currents

Virtual reality for memory rehabilitation

This paper describes a prototype virtual reality (VR) system that has been developed to assist the rehabilitation of elderly with mild-to-moderate memory deficits. The use of virtual reality in rehabilitation is reviewed along with the clinical requirements to establish the framework for the proposed system. This framework is presented together with the use of the prototype system to perform a simple cooking task in a virtual kitchen. The evaluation results show that the completion time for the virtual task is dependent on the person's mobility and knowledge of computers. It was found that the mean completion time decreases significantly with more practices. Although the time taken for the completion of the virtual cooking task is longer than the average time needed to actually cook a package of instant noodle, the overall results give strong indication of the usability of the VR application for rehabilitation. The results are encouraging and show the potential of immersive virtual reality for memory rehabilitation

Quantum Cryptography Based on the Time--Energy Uncertainty Relation

A new cryptosystem based on the fundamental time--energy uncertainty relation is proposed. Such a cryptosystem can be implemented with both correlated photon pairs and single photon states.Comment: 5 pages, LaTex, no figure

Infant feeding practices in a multi-ethnic Asian cohort: the GUSTO study

The optimal introduction of complementary foods provides infants with nutritionally balanced diets and establishes healthy eating habits. The documentation of infant feeding practices in multi-ethnic Asian populations is limited. In a Singapore cohort study (GUSTO), 842 mother-infant dyads were interviewed regarding their feeding practices when the infants were aged 9 and 12 months. In the first year, 20.5% of infants were given dietary supplements, while 5.7% took probiotics and 15.7% homeopathic preparations. At age 9 months, 45.8% of infants had seasonings added to their foods, increasing to 56.3% at 12 months. At age 12 months, 32.7% of infants were given blended food, although 92.3% had begun some form of self-feeding. Additionally, 87.4% of infants were fed milk via a bottle, while a third of them had food items added into their bottles. At both time points, more than a third of infants were provided sweetened drinks via the bottle. Infants of Indian ethnicity were more likely to be given dietary supplements, have oil and seasonings added to their foods and consumed sweetened drinks from the bottle (p < 0.001). These findings provide a better understanding of variations in infant feeding practices, so that healthcare professionals can offer more targeted and culturally-appropriate advice

Computation tools for the combat of cardiovascular heart disease

The paper discusses two potential applications of computational technologies to combat cardiovascular heart disease in Singapore. The first application involves the exploitation of neural networks for the risk prediction of coronary heart disease. The second application involves the potential integration of artificial intelligence and high performance modelling with clinical biology for the analysis and visualisation of atherosclerosis related structure. The implementation of these computation tools in phases constitutes initial efforts in the development of a digital clinical atherosclerosis laboratory to assist in the prevention and treatment of cardiovascular heart disease

The Bipolar II depression questionnaire:A self-report Tool for detecting Bipolar II depression

Bipolar II (BP-II) depression is often misdiagnosed as unipolar (UP) depression, resulting in suboptimal treatment. Tools for differentiating between these two types of depression are lacking. This study aimed to develop a simple, self-report screening instrument to help distinguish BP-II depression from UP depressive disorder. A prototype BP-II depression questionnaire (BPIIDQ-P) was constructed following a literature review, panel discussions and a field trial. Consecutively assessed patients with a diagnosis of depressive disorder or BP with depressive episodes completed the BPIIDQ-P at a psychiatric outpatient clinic in Hong Kong between October and December 2013. Data were analyzed using discriminant analysis and logistic regression. Of the 298 subjects recruited, 65 (21.8%) were males and 233 (78.2%) females. There were 112 (37.6%) subjects with BP depression [BP-I = 42 (14.1%), BP-II = 70 (23.5%)] and 182 (62.4%) with UP depression. Based on family history, age at onset, postpartum depression, episodic course, attacks of anxiety, hypersomnia, social phobia and agoraphobia, the 8-item BPIIDQ-8 was constructed. The BPIIDQ-8 differentiated subjects with BP-II from those with UP depression with a sensitivity/specificity of 0.75/0.63 for the whole sample and 0.77/0.72 for a female subgroup with a history of childbirth. The BPIIDQ-8 can differentiate BP-II from UP depression at the secondary care level with satisfactory to good reliability and validity. It has good potential as a screening tool for BP-II depression in primary care settings. Recall bias, the relatively small sample size, and the high proportion of females in the BP-II sample limit the generalization of the results

MSSM Baryogenesis and Electric Dipole Moments: An Update on the Phenomenology

We explore the implications of electroweak baryogenesis for future searches for permanent electric dipole moments in the context of the minimal supersymmetric extension of the Standard Model (MSSM). From a cosmological standpoint, we point out that regions of parameter space that over-produce relic lightest supersymmetric particles can be salvaged only by assuming a dilution of the particle relic density that makes it compatible with the dark matter density: this dilution must occur after dark matter freeze-out, which ordinarily takes place after electroweak baryogenesis, implying the same degree of dilution for the generated baryon number density as well. We expand on previous studies on the viable MSSM regions for baryogenesis, exploring for the first time an orthogonal slice of the relevant parameter space, namely the (tan\beta, m_A) plane, and the case of non-universal relative gaugino-higgsino CP violating phases. The main result of our study is that in all cases lower limits on the size of the electric dipole moments exist, and are typically on the same order, or above, the expected sensitivity of the next generation of experimental searches, implying that MSSM electroweak baryogenesis will be soon conclusively tested.Comment: 23 pages, 10 figures, matches version published in JHE

An Investigation of Willingness to Pay for Geopark Management and Conservation: A Case Study of Geotourists in the Greater China Region

Willingness to pay (WTP) for geological protection is essential for market-based geopark conservation tactic formulations. Whether geotourists are willing to pay and how much they prefer to pay might be influenced by different determinants. The present study aims to (1) investigate the probability of paying and the payment amount for geopark conservation and (2) examine how factors influence the intention and amount to pay for the upkeep of geoparks. The results suggest that geotourists would contribute financially to geological conservation and geopark management. The findings also revealed that geotourists’ intentions and payment for conservation were associated with educational background and monthly income level. In addition, geotourist attachment and satisfaction concerning visiting geoparks positively affected intention and payment. This study might provide empirical references for geopark management and conservation in the Greater China Region