Spontaneous platelet activation and aggregation during obstructive sleep apnea and its response to therapy with nasal continuous positive airway pressure. A preliminary investigation

STUDY OBJECTIVE: To determine whether alterations of platelet reactivity occur during obstructive sleep apnea (OSA) and, if so, whether therapy with nasal-continuous positive airway pressure (N-CPAP) alters this reactivity. DESIGN: Patients with suspected moderate to severe OSA had blood drawn for spontaneous platelet aggregation (sAGG) and activation (sACT) measurements at hourly intervals during diagnostic polysomnography (PSG) and, in those with confirmed OSA, on a separate night during which N-CPAP was applied. SETTING: Tertiary care center sleep laboratory. PATIENTS: Six patients with OSA had matched blood samples drawn on both diagnostic and N-CPAP treatment nights. Five patients without confirmed OSA served as controls. INTERVENTIONS: N-CPAP was applied to those patients with OSA and pressures adjusted with goals of eliminating apneas; N-CPAP was then maintained through the night. MEASUREMENTS AND RESULTS: sACT and sAGG were measured using flow cytometric determination of P-selectin expression using a monoclonal antibody. Platelet aggregation was assessed by measuring the proportion of platelets larger than resting platelets by light scatter techniques. Mean values for sACT and sAGG were higher on the diagnostic night compared with treatment night (p = 0.001 and p = 0.003, analysis of variance, respectively). The mean baseline supine sACT compared with completion supine sACT for both diagnostic and N-CPAP nights also revealed significant differences (mean = 16.6 +/- 3.5% vs 36.9 +/- 7.5%, p = 0.04; and 11.9 +/- 3% vs 39.5 +/- 9.1%, p = 0.04). Platelet activation during sleep in five subjects without OSA resembles that found in patients with OSA during N-CPAP. CONCLUSIONS: Increased platelet sACT and sAGG occur during sleep in patients with OSA. This effect is greatly reduced by N-CPAP.     

Review of Can Love Last? The Fate of Romance Over Time.

Review of book: Stephen Mitchell. Can Love Last? The Fate of Romance Over Time. New York: Norton, 2002, 223 pp. Reviewed by Timothy J. Zeddies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When laws and ethics collide: What should psychologists do?

At times the laws under which psychologists function may appear to contradict generally recognized ethical values and/or good clinical care. When these circumstances arise, psychologists must determine if a conflict really exists and, if so, seek solutions that reconcile respect for the law with their ethical values. At times, psychologists may decide to follow the law despite their ethical concerns. At other times, they may determine that a conscientious objection is warranted. The authors recommend options to consider when these situations arise and offer a decision-making process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pseudoexstrophy

Pseudoexstrophy is a rare, mild exstrophy variant which involves the major musculoskeletal defects of the exstrophy complex without any associated defect in the urinary system. A case is reported presenting at birth as an umbilical positional anomaly. Differential diagnosis and management are reviewed.     

Workflow technology-based monitoring and control for business process and project management

In this paper the application of workflow technology to monitor, control and coordinate business processes and projects is proposed. The conceptual characteristics of processes and projects as well as their management needs in the functions of planning, execution, monitoring and control are compared. The general design of the proposed system is then developed, with an application example. The proposed monitoring and control system provides proactive tracking of the flow of work and information, and of the utilization and commitment of resources. The design supports hierarchical management of the project and/or business process, allowing concerned persons to visualize and to utilize it in different levels of abstraction, as necessary. The application of workflow technology also provides additional benefits in facilitating communication, documentation and re-utilization.     

Research in object-oriented manufacturing simulations:an assessment of the state of the art

Object-oriented programming (OOP) has been revolutionizing software development and maintenance. When applied to simulation of manufacturing systems, OOP also provides an opportunity for developing new ways of thinking and modeling. In this paper, we identify existing large-scale, persistent OOP-based research efforts focusing on manufacturing system simulation, and present an integrating framework for discussing the associated modeling abstractions, implementation strategies, common themes, and distinctive features. The goal is to identify the fundamental research and application issues, assess the current state of the art, and identify key research needs.     

Demonstration of an ion-implanted, wavelength-shifted quantum-well laser

A technique for fabricating many different wavelength lasers on the same wafer has been developed. High energy ion implantation was used to selectively blue shift the emission wavelength of an InP-based quantum well laser structure. This structure was then processed into fully functional broad-area lasers whose current threshold was unaffected by the implantation process, indicating extremely high material quality after bandgap-shifting. This process has the potential for the integration of not only different wavelength lasers, but also other devices, such as waveguides, detectors, modulators, etc., on a single wafer.     

Array pattern synthesis in the complex plane optimised by a geneticalgorithm

Array pattern nulling by operating on the roots of the array polynomial in the complex plane using a genetic algorithm (GA) is demonstrated. A pattern envelope constraint and an array efficiency criterion are applied. The algorithm is much faster than a similar GA operating on the complex weights of the array factor