Chronic headaches and sleep disorders

BACKGROUND: Headaches and sleep problems are common complaints in the daily practice of the general practitioner. Since the relationship between headaches and sleep complaints is complex, clear models of interaction are needed for adequate diagnosis and treatment. METHODS: All subjects, successively seen in a headache clinic during a defined period, were subdivided based on the time of onset of cephalalgia. Subjects who reported onset of headache on a long-term basis, during the nocturnal or early morning (before final awakening) period, were systematically studied by a headache clinic and a sleep disorders center. This subgroup represented 17% of the total headache group. RESULTS: Although the results of the headache clinic study did not differentiate this subgroup from the other patients, the sleep disorders center's interviews and questionnaires demonstrated a significant impact of the sleep disorders on headache and daytime function. Nocturnal monitoring during sleep identified specific sleep disorders in 55% of the subjects with onset of headache during the nocturnal sleep period. Follow-up after treatment of the sleep disorder showed that all subjects with an identifiable sleep disorder reported either an improvement or absence of their headache. The subjects identified with periodic limb movement syndrome were mostly those who reported only an improvement in their sleep and still needed treatment for their headaches. The question of the interaction and association of sleep-related headache and periodic limb movement syndrome is unresolved. CONCLUSION: Headaches occurring during the night or early morning are often related to a sleep disturbance.     

Is there a role for continuation phase cognitive therapy for depressed outpatients?

Two pilot studies evaluated the rate of relapse or recurrence (i.e., major depressive disorder) after cognitive therapy (CT). Two sequential cohorts included outpatients who responded to acute phase CT (A-CT) and who agreed to monthly, treatment-free follow-up. In Study 1, the Kaplan-Meier technique estimated relapse and recurrence rates of 40% at 6 months, 45% at 8 months, 50% at 12 months, 67% at 18 months, and 74% at 24 months. In Study 2, responders to A-CT received 8 months (10 sessions) of continuation phase CT (C-CT). In Study 2, relapse or recurrence was 20% at 6 and 8 months, 27% at 12 months, and 36% at 18 and 24 months after A-CT. An exploratory log-rank test showed that relapse or recurrence-free survival was greater in Study 2 than in Study 1. If replicated, this result suggests that C-CT can reduce depressive relapse or recurrence. Alternative explanations are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Distributed Context Retrieval and Consistency Control in Pervasive Computing

The challenge of saturating all phases of pervasive service provision with context-aware functionality lies in coping with the complexity of maintaining, retrieving and distributing context information. To efficiently represent and query context information a sophisticated modelling scheme should exist. To distribute and synchronise context knowledge in various context repositories across a multitude of administrative domains, streamlined mechanisms are needed. This paper elaborates on an innovative context management framework that has been designed to cope with free-text and location based context retrieval and efficient context consistency control. The proposed framework has been incorporated in a multi-functional pervasive services platform, while most of the mechanisms it employs have been empirically evaluated.     

Expressing the equivalence of non‐isothermal and isothermal heat sterilization processes

Currently, the sterility of heat‐processed food and pharmaceuticals is assessed in terms of an F₀ value, based on the equivalence of the heat treatment to an isothermal process at a reference temperature. This F₀ value, however, has a meaning if, and only if, the inactivation kinetics of the targeted spores (or cells) follow a first‐order relationship and the temperature dependence of the D value, the reciprocal of the rate constant, is log‐linear. There is growing evidence that these conditions are not satisfied by many spores, including those of Clostridium botulinum and vegetative cells. Consequently, a replacement for the F₀ value is proposed in the form of a momentary equivalent time at the reference temperature based on the actual survival pattern of the spores, which need not be log‐linear. This equivalent time can be calculated together with the theoretical survival ratio in real time, thus enabling an operator to monitor the lethality of ongoing industrial heat processes. The concept is demonstrated with published survival data of C. botulinum, for which the Weibullian and log‐logistic models served as primary and secondary models, respectively. The safety factor according to the proposed method is in the number of added minutes of processing, beyond the theoretical time needed to reduce the survival ratio of the targeted spores or cells to a level that would produce practical (or commercial) sterility. Copyright © 2006 Society of Chemical Industry     

Attentional task aptitude and performance anxiety.

Anxious responding (trait, state, and test anxiety) has a negative impact on overt performance. Researchers have used a unidimensional method of assessing anxiety and performance, although a more informative approach would involve a comprehensive assessment battery and multiple performance tasks. Incorporating this strategy, the authors measured the impact of anxiety on 4 attentional processing tasks. Results revealed that "types" of anxiety symptoms were differentially related to attentional task performance; test anxiety accounted for the most variance in predicting performance on the Wechsler Adult Intelligence Scale-Third Edition (D. Wechsler, 1997) letter-number sequencing and digit-span subtests, trait anxiety and fear of negative evaluation were more significant in predicting Stroop performance, and math anxiety accounted for the largest variance toward understanding Paced Auditory Serial Addition Task (C. W. Lejuez, C. W. Kahler, & R. A. Brown, 2003) scores. Theoretical and clinical implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Exfoliation and related microstructures in 2024 aluminum body skins on aging aircraft

Exfoliation, a directional attack along elongated grain boundaries, has been examined in some detail in rolled 2024 aluminum sheet and plate for KC-135 aging aircraft body skin samples utilizing optical (light) metallography, scanning electron microscopy, and transmission electron microscopy. A detailed analysis and comparison of precipitates within the grains and in the grain boundaries were performed, as well as an examination of elemental depletion profiles across grain boundaries. These observations suggest that corrosion-related anodic sites play a far less significant role in the propagation of exfoliation than do the hard corrosion products creating wedging stresses within the elongated grain boundaries, which seem to demonstrate unique and unusual structural or energetic features or both.     

News: United Kingdom to set air quality emission standards

Government.     

Erosion-corrosion of a stainless steel distillation column in food industry

Unusual extended corrosion phenomena were detected in a distillation column made in AISI type 316 stainless steel (UNS S31600) of a plant for natural pectins extraction from citrus. The column was the first of a series of two distillation columns representing the unit core. Corrosion problems were observed only in that column and mainly along the surface of the trays located in the lower section of the column. The phenomenon was observed subsequently to a modification of the original plant layout that caused an increase of the operating temperatures and turbulence of the process stream inside the column.     

Comparative Coreflood Studies for Precipitation and Adsorption Squeeze with PPCA as the Scales Inhibitor

Comparative adsorption and precipitation squeezes carried out on field core materials demonstrate that significant lifetime enhancement is achievable for precipitation squeeze with respect to more conventional adsorption squeeze. Coreflood tests have been carried out under reservoir conditions (135°C) employing a poly-phosphinocarboxylate (PPCA) as the scales inhibitor. Field treatment simulations, carried out starting from coreflood data and considering the characteristics of a North Sea formation taken as the reference, confirmed the higher performance, in term of squeeze lifetime, of the precipitation squeeze with respect to adsorption. The results pointed out the importance of choosing the appropriate formulation once the operative conditions are known, in order to promote the inhibitor precipitation into the formation. Some implications of these results for the optimization of the precipitation squeeze technology for field applications, with particular emphasis to formation damage, are also discussed.