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a cross-sectional polysomnographic (PSG) study in consecutive MS patients, we retrospectively analysed the previously unpublished data of the Nottingham Health Profile (NHP).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.     

On the effects of the packet size distribution on the packet loss process

Real-time multimedia applications have to use forward error correction (FEC) anderror concealment techniques to cope with losses in today’s best-effort Internet. The efficiency of these solutions is known however to depend on the correlation between losses in the media stream. In this paper we investigate how the packet size distribution affects the packet loss process, that is, the distribution of the number of lost packets in a block, the related FEC performance and the average loss run length. We present mathematical models for the loss process of the MMPP+M/D/1/K and the MMPP+M/M/1/K queues; we validate the models via simulations, and compare the results to simulation results with an MPEG-4 coded video trace. We conclude that the deterministic packet size distribution (PSD) not only results in lower stationary loss probability than the exponential one, but also gives a less correlated loss process, both at a particular average link load and at a particular stationary loss probability as seen by the media stream.Our results show that for applications that can only measure the packet loss probability, the effects of the PSD on FEC performance are higher in access networks, where a single multimedia stream might affect the multiplexing behavior. Our results show that the effects of the PSD on FEC performance are higher in access networks, where a single multimedia stream might affect the multiplexing behavior and thus can improve the queuing performance by decreasing the variance of its PSD.     

Effective modelling of percolation at the landscape scale using data-based approaches

Process-based models have been extensively applied to assess the impact of landuse change on water quantity and quality at landscape scales. However, the routine application of those models suffers from large computational efforts, lack of transparency and the requirement of many input parameters. Data-based models such as Feed-Forward Multilayer Perceptrons (MLP) and Classification and Regression Trees (CART) may be used as effective models, i.e. simple approximations of complex process-based models. These data-based approaches can subsequently be applied for scenario analysis and as a transparent management tool provided climatic boundary conditions and the basic model assumptions of the process-based models do not change dramatically. In this study, we apply MLP, CART and Multiple Linear Regression (LR) to model the spatially distributed and spatially aggregated percolation in soils using weather, groundwater and soil data. The percolation data is obtained via numerical experiments with Hydrus1D. Thus, the complex process-based model is approximated using simpler data-based approaches. The MLP model explains most of the percolation variance in time and space without using any soil information. This reflects the effective dimensionality of the process-based model and suggests that percolation in the study area may be modelled much simpler than using Hydrus1D. The CART model shows that soil properties play a negligible role for percolation under wet climatic conditions. However, they become more important if the conditions turn drier. The LR method does not yield satisfactory predictions for the spatially distributed percolation however the spatially aggregated percolation is well approximated. This may indicate that the soils behave simpler (i.e. more linear) when percolation dynamics are upscaled.     

Gambling in Norway: An obscure activity?

Suggests that it is difficult to get an exact account of gambling behavior in Norway. It appears that gambling behavior in Norway has increased 50% during the observed 5-yr period. Little is known about the prevalence of problematic gambling. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of corticotropin-releasing factor on pancreatic and islet blood flow in different regions of the rat pancreas

Corticotropin-releasing factor (CRF) has previously been shown to selectively dilate the mesenteric vascular bed, without affecting other vascular beds. Pancreatic blood flow and islet blood flow were therefore measured separately with a microsphere technique in the two regions of the rat pancreas perfused by the superior mesenteric artery (SMA) or celiac artery (CA) respectively. Intravenous infusion of CRF (0.25 microgram/kg b.w./min) caused an increase in both whole pancreatic blood flow and islet blood flow in the region of the pancreas perfused by the SMA. The fraction of whole pancreatic blood flow diverted through the islets in this part of the pancreas was, however, unaffected by CRF infusion (approximately 10%). CRF did not change either pancreatic or islet blood flow in the CA-perfused part of the pancreas, and did not affect the release of insulin.     

Durability of polymeric glazing materials for solar applications

The economic viability of solar collector systems for domestic hot water (DHW) generation is strongly linked to the cost of such systems. Installation and hardware costs must be reduced by 50% to allow significant market penetration. An attractive approach to cost reduction is to replace glass and metal parts with less expensive, lighter weight polymeric components. Weight reduction decreases the cost of shipping, handling, and installation. The use of polymeric materials also allows the benefits and cost savings associated with well established manufacturing processes, along with savings associated with improved fastening, reduced part count, and overall assembly refinements. A key challenge is to maintain adequate system performance and assure requisite durability for extended lifetimes. Results of preliminary and ongoing screening tests for a large number of candidate polymeric glazing materials are presented. Based on these results, two specific glazings with moderate and poor weathering stability are selected to demonstrate how a service lifetime methodology can be applied to accurately predict the optical performance of these materials during in-service use. A summary is given for data obtained by outdoor exposure and indoor testing of polyvinyl chloride (PVC) and high temperature modified polycarbonate copolymer (coPC) materials, and an initial risk analysis is given for the two materials. Screening tests and analyses for service lifetime prediction are discussed. A methodology that provides a way to derive correlations between degradation experienced by materials exposed to controlled accelerated laboratory exposure conditions and materials exposed to in-service conditions is given, and a validation is presented for the methodology based upon durability test results for PVC and coPC.     

Estimating thermal stress in BIPV modules

The thermal stress on building‐integrated photovoltaic modules (BIPV) in Espoo, Finland, was studied with field‐testing of amorphous silicon modules. Based on these results, the thermal stress at two other European locations (Paris and Lisbon) was estimated. The estimation procedure entailed thermal modelling of heat transfer in the façade with meteorological data as input. The results indicate that the thermal stress on BIPV modules in Lisbon is, in this case, approximately 50% higher that in Espoo and between 80 and 200% higher than in Paris, depending on the activation energy of the degradation process. The difference in stress between a BIPV module and a free‐standing module in Espoo was 50–200%. Copyright © 2006 John Wiley & Sons, Ltd.     

Incidence of neoplasms in ages 0-19 y in parts of Sweden with high 137Cs fallout after the Chernobyl accident

An experiment was conducted to elucidate the origin of tetraploids (2n = 4x = 44) of Paragonimus westermani that occur together with diploid (2n = 2x = 22) and triploid (2n = 3x = 33) types in Liaoning Province, the People's Republic of China. Metacercariae of the diploid type, obtained from Hyogo Prefecture, Japan, and those of the triploid type from Tsushima, Nagasaki Prefecture, Japan, were mixed and inoculated into dogs and cats. The following results were obtained. The flukes were found in pairs within cysts in random combinations of 2x + 2x, 2x + 3x, and 3x + 3x (7:15:7). Oocytes in the oviduct were at stages from diplotene to metaphase. In a triploid fluke encysted with a diploid fluke, the primary oocytes were intruded by sperms from the diploid fluke. In the primary oocytes of diploid as well as triploid flukes, from diplotene to diakinesis, the homologues of the nucleolar chromosomes were heteromorphic as far as the size of the short arm was concerned. This implies that the triploid is an autotriploid generated in an ancestral diploid population that was polymorphic for the nucleolar chromosome.