Sleep Disorders Reduce Health-Related Quality of Life in Multiple Sclerosis (Nottingham Health Profile Data in Patients with Multiple Sclerosis)

Quality of Life (QoL) is decreased in multiple sclerosis (MS), but studies about the impact of sleep disorders (SD) on health-related quality of Life (HRQoL) are lacking. From our original cohort, a cross-sectional polysomnographic (PSG) study in consecutive MS patients, we retrospectively analysed the previously unpublished data of the Nottingham Health Profile (NHP). Those MS patients suffering from sleep disorders (n = 49) showed significantly lower HRQoL compared to MS patients without sleep disorders (n = 17). Subsequently, we classified the patients into four subgroups: insomnia (n = 17), restless-legs syndrome, periodic limb movement disorder and SD due to leg pain (n = 24), obstructive sleep apnea (n = 8) and patients without sleep disorder (n = 17). OSA and insomnia patients showed significantly higher NHP values and decreased HRQoL not only for the sleep subscale but also for the “energy” and “emotional” area of the NHP. In addition, OSA patients also showed increased NHP values in the “physical abilities” area. Interestingly, we did not find a correlation between the objective PSG parameters and the subjective sleep items of the NHP. However, this study demonstrates that sleep disorders can reduce HRQoL in MS patients and should be considered as an important confounder in all studies investigating HRQoL in MS.     

Time‐series and extended Karhunen–Loève analysis of turbulent drag reduction in polymer solutions

Direct numerical simulations and statistical analysis techniques are used to study the drag‐reducing effect of polymer additives on turbulent channel flow in minimal domains. Additionally, a new formulation of Karhunen–Loève decomposition for viscoelastic flows is introduced, allowing the dominant features of the polymer stress fields to be characterized. In minimal channels, there are intervals of “active” and “hibernating” turbulence that display very different structural and energetic characteristics; the present work illustrates how the statistics of these intervals evolve over the entire range of drag reduction (DR) levels. The effect of viscoelasticity on minimal channel turbulence is twofold: first, it strongly suppresses the active turbulent dynamics that predominate in Newtonian flow and second, at sufficiently high Weissenberg number it stabilizes the dynamics of hibernating turbulence, allowing it to predominate in the maximum drag reduction regime. In this regime, the stress fluctuations become delocalized from the wall region, encompassing the entire flow domain. © 2014 American Institute of Chemical Engineers AIChE J, 60: 1460–1475, 2014     

Teriflunomide Preserves Neuronal Activity and Protects Mitochondria in Brain Slices Exposed to Oxidative Stress

Teriflunomide (TFN) limits relapses in relapsing–remitting multiple sclerosis (RRMS) by reducing lymphocytic proliferation through the inhibition of the mitochondrial enzyme dihydroorotate dehydrogenase (DHODH) and the subsequent modulation of de novo pyrimidine synthesis. Alterations of mitochondrial function as a consequence of oxidative stress have been reported during neuroinflammation. Previously, we showed that TFN prevents alterations of mitochondrial motility caused by oxidative stress in peripheral axons. Here, we aimed to validate TFN effects on mitochondria and neuronal activity in hippocampal brain slices, in which cellular distribution and synaptic circuits are largely preserved. TFN effects on metabolism and neuronal activity were investigated by assessing oxygen partial pressure and local field potential in acute slices. Additionally, we imaged mitochondria in brain slices from the transgenic Thy1-CFP/COX8A)S2Lich/J (mitoCFP) mice using two-photon microscopy. Although TFN could not prevent oxidative stress-related depletion of ATP, it preserved oxygen consumption and neuronal activity in CNS tissue during oxidative stress. Furthermore, TFN prevented mitochondrial shortening and fragmentation of puncta-shaped and network mitochondria during oxidative stress. Regarding motility, TFN accentuated the decrease in mitochondrial displacement and increase in speed observed during oxidative stress. Importantly, these effects were not associated with neuronal viability and did not lead to axonal damage. In conclusion, during conditions of oxidative stress, TFN preserves the functionality of neurons and prevents morphological and motility alterations of mitochondria.     

Changes in the perceived duration of a narrowband sound induced by a preceding stimulus.

The authors show that a narrowband noise (NBN) is perceived as longer when presented immediately after a wideband noise (WBN), compared to when the WBN is absent. This effect depended on the WBN’s frequency spectrum overlapping that of the NBN, and it increased as the duration of the WBN increased up to 300 ms. It decreased when a silent gap was introduced between the WBN and NBN, but remained significant for an easily detectable gap of 40 ms. A correlate of the effect was observed in the mismatch negativity (MMN) to a deviant stimulus, consisting of a WBN + NBN, presented in a sequence of more common isolated WBNs. The MMN latency was longer for an on-frequency than for an off-frequency WBN; and, more importantly, the size of this difference correlated across participants with the difference in perceived duration. A rhythm-adjustment experiment showed that the presence of an on-frequency WBN immediately preceding a tone caused that tone to be heard as starting earlier than when the WBN was absent. The results are discussed in relation to the continuity illusion and models of duration encoding. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Schrifttumsberichte

Ohne Zusammenfassung     

Family health and mental health six years after economic stress and unemployment

This study is a follow-up of 39 working class couples who were interviewed after suffering economic stress or unemployment and again six years later. Repeated measures related to economics, stress, family functioning, anxiety, and depression were collected and analyzed for couples and for husbands and wives separately. A model of long-term coping was suggested for future testing. Initially stressed families appeared to grow stronger. Mental health correlated negatively to family problems. Depressed wives seemed to maintain their depression over time if they perceived family life as stressful. Irrespective of marital problems, husbands were less likely to stay depressed.     

A language independent error recovery method for LL(1) parsers

An efficient and systematic LL(1) error recovery method is presented that has been implemented for an LL(1) parser generator. Error messages which provide good diagnostic information are generated automatically. Error correction is done by discarding some input symbols and popping up some symbols from the parsing-stack in order to restore the parser to a valid configuration. Thus, symbol deletions and insertions are simulated. The choice between different possible corrections is made by comparing the cost of the inserted (popped) symbols with the reliability value of the recovery symbol (the first input symbol that is not discarded). Our concept of reliability is based on the observation that input symbols differ from each other in their ability to serve as recovery points. A high reliability value of a symbol asserts that it was probably not placed in the input by accident. So it is reasonable not to discard that symbol but to resume parsing. This is done even if a string with high insert-cost has to be inserted before that symbol in order to fit it to the part of the program that has already been analysed. The error recovery routine is invoked only when an error is detected. Thus, there is no additional time required for parsing correct programs. Error-correcting parsers for different languages, including Pascal, have been generated. Some experimental results are summarized.