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Kinds of Evening Terms modified by Evening Selected AbstractsIntraocular pressure control over 24 hours using travoprost and timolol fixed combination administered in the morning or evening in primary open-angle and exfoliative glaucomaACTA OPHTHALMOLOGICA, Issue 1 2009Anastasios G. P. Konstas Abstract. Purpose:, To evaluate intraocular pressure (IOP) control over 24 hours using travoprost and timolol fixed combination (TTFC) administered in the morning or evening in primary open-angle and exfoliative glaucoma. Methods:, Patients were randomized to TTFC administered in either the morning or evening for 8 weeks. Previously treated patients underwent an untreated washout period of 4,6 weeks, after which baseline IOP was required to be > 25 mm Hg and < 38 mmHg (in two readings taken at 10.00 ± 1 hours). During the treatment period, IOP was measured at 10.00, 14.00, 18.00, 22.00, 02.00 and 06.00 hours. Patients were then treated with the opposite dosing regimen for 8 weeks and IOP measurements were repeated. Results:, In 32 subjects who completed the study, the untreated baseline IOP following washout was 27.7 ± 3.5 mmHg. Both dosing regimens reduced IOP from baseline at each time-point and throughout the 24-hour diurnal curve (p < 0.0001). When treatments were compared directly, evening dosing (18.4 ± 3.3 mmHg) provided a statistically significant lower 24-hour curve than morning dosing (19.2 ± 3.5 mmHg; p = 0.001). Evening dosing also resulted in a lower 24-hour IOP fluctuation (3.8 ± 1.6 mmHg) than morning dosing (5.1 ± 1.6 mmHg; p = 0.0002) and lower peak IOP (p = 0.0003). Conclusions:, Both morning and evening administration of TTFC provide effective 24-hour IOP reduction, but evening dosing demonstrates better 24-hour pressure control. [source] Effects of aerobic fitness on hypohydration-induced physiological strain and exercise impairmentACTA PHYSIOLOGICA, Issue 2 2010T. L. Merry Abstract Aim:, Hypohydration exacerbates cardiovascular and thermal strain and can impair exercise capacity in temperate and warm conditions. Yet, athletes often dehydrate in exercise, are hypervolaemic and have less cardiovascular sensitivity to acute hypervolaemia. We tested the hypothesis that trained individuals have less cardiovascular, thermoregulatory and performance affect of hypohydration during exercise. Methods:, After familiarization, six trained [O2 peak = 64 (SD 8) mL kg,1 min,1] and six untrained [O2 peak = 45 (4) mL kg,1 min,1] males cycled 40 min at 70%O2 peak while euhydrated or hypohydrated by 1.5,2.0% body mass (crossover design), before a 40-min work trial with euhydration or ad libitum drinking (in Hypohydration trial), in temperate conditions (24.3,°C, RH 50%, va = 4.5 m s,1). Baseline hydration was by complete or partial rehydration from exercise+heat stress the previous evening. Results:, During constant workload, heart rate and its drift were increased in Hypohydration compared with Euhydration for Untrained [drift: 33 (11) vs. 24 beats min,1 h,1 (10), 95% CI 5,11] but not Trained [14 (3) vs. 13 beats min,1 h,1 (3), CI ,2 to 3; P = 0.01 vs. Untrained]. Similarly, rectal temperature drift was faster in Hypohydration for Untrained only [by 0.57,°C h,1 (0.25); P = 0.03 vs. Trained], concomitant with their reduced sweat rate (P = 0.05) and its relation to plasma osmolality (P = 0.03). Performance power tended to be reduced for Untrained (,13%, CI ,35 to 2) and Trained (,7%, CI: ,16 to 1), without an effect of fitness (P = 0.38). Conclusion:, Mild hypohydration exacerbated cardiovascular and thermoregulatory strain and tended to impair endurance performance, but aerobic fitness attenuated the physiological effects. [source] The Effects of Ambulance Diversion: A Comprehensive ReviewACADEMIC EMERGENCY MEDICINE, Issue 11 2006Julius Cuong Pham MD Objectives To review the current literature on the effects of ambulance diversion (AD). Methods The authors performed a systematic review of AD and its effects. PubMed, EMBASE, the Cochrane database, societal meeting abstracts, and references from relevant articles were searched. All articles were screened for relevance to AD. Results The authors examined 600 citations and reviewed the 107 articles relevant to AD. AD is a common occurrence that is increasing in frequency. AD is associated with periods of emergency department (ED) crowding (Mondays, mid-afternoon to early evening, influenza season, and when hospitals are at capacity). Interventions that redesign the AD process or that provide additional hospital or ED resources reduce diversion frequency. AD is associated with increased patient transport times and time to thrombolytics but not with mortality. AD is associated with loss of estimated hospital revenues. Short of anecdotal or case reports, no studies measured the effect of AD on ED crowding, morbidity, patient and provider satisfaction, or EMS resource utilization. Conclusions Despite its common use, there is a relative paucity of studies on the effects of AD. Further research into these effects should be performed so that we may understand the role of AD in the health system. [source] Long-term efficacy and safety of insulin detemir compared to Neutral Protamine Hagedorn insulin in patients with Type 1 diabetes using a treat-to-target basal,bolus regimen with insulin aspart at meals: a 2-year, randomized, controlled trialDIABETIC MEDICINE, Issue 4 2008P. C. Bartley Abstract Aims This 24-month, multi-national, open-label, parallel group trial investigated the long-term efficacy and safety of insulin detemir and Neutral Protamine Hagedorn insulin in combination with mealtime insulin aspart in patients with Type 1 diabetes using a treat-to-target concept. Methods Patients were randomized 2 : 1 to detemir (n = 331) or NPH (n = 166) groups. Basal insulin was initiated once daily (evening) and titrated individually based on self-measured plasma glucose (PG) levels, aiming for pre-breakfast and pre-dinner targets , 6.0 mmol/l. A second basal morning dose could be added according to pre-defined criteria. Results After 24 months, superiority of glycated haemoglobin (HbA1c) was achieved with detemir compared to NPH (detemir 7.36%, NPH 7.58%, mean difference ,0.22% points) [95% confidence interval (CI) ,0.41 to ,0.03%], with reductions of 0.94% and 0.72% points, respectively. Fasting PG (FPGlab) was also lower with detemir (detemir 8.35 mmol/l, NPH 9.43 mmol/l; P = 0.019). Twenty-two per cent of patients treated with detemir reached an HbA1c , 7.0% in the absence of confirmed hypoglycaemia during the last month of treatment vs. 13% on NPH (P = 0.019). Risk of major and nocturnal hypoglycaemia was 69% and 46% lower with detemir than with NPH (P < 0.001), respectively; patients treated with detemir gained less weight (detemir 1.7 kg, NPH 2.7 kg; P = 0.024). The overall safety profile was similar in the two groups and treatment with detemir did not result in any unexpected findings. Conclusions Long-term treatment with the insulin analogues detemir + aspart was superior to NPH + aspart in reducing HbA1c, with added benefits of less major and nocturnal hypoglycaemia and less weight gain. [source] The relationship between melatonin and cortisol rhythms: clinical implications of melatonin therapyDRUG DEVELOPMENT RESEARCH, Issue 3 2005N. Zisapel Abstract Disturbances in circadian rhythm have been linked to chronic diseases such as insomnia, hypertension, diabetes, and depression. Here we review recent studies on the age-related changes in cortisol and melatonin rhythms and then present descriptive statistics on our preliminary findings on the rectification of the cortisol rhythms by melatonin therapy in elderly patients with insomnia. In adults, the melatonin onset typically occurs during low cortisol secretion. Administration of exogenous melatonin around dusk will shift the phase of the human circadian clock to earlier hours (advance phase shift) leading to phase advances in circadian rhythms (e.g., sleep, endogenous melatonin, cortisol). With aging, the production of melatonin declines and is shifted to later hours while the production of cortisol increases and its peak occurs earlier in the night. In a randomized placebo-controlled crossover study with 8 patients with insomnia aged 55 years and older, a group characterized by low and delayed melatonin production, administration of prolonged-release melatonin in the evening was able to rectify the early onset cortisol production. This delay in nocturnal cortisol onset may explain in part the improvement in sleep quality in elderly patients with insomnia, in schizophrenics, and in depressed patients. Support of circadian pacemaker function by melatonin may provide a new strategy in the treatment of disorders related to impairments in the internal temporal order. The clinical benefit from a decrease in cortisol during the early part of the night may lie beyond the improvement of sleep into a better control of blood pressure, metabolism, and mood. Drug Dev. Res. 65:119,125, 2005. © 2005 Wiley-Liss, Inc. [source] Two-hourly surface change on supra-tidal rock (Marengo, Victoria, Australia)EARTH SURFACE PROCESSES AND LANDFORMS, Issue 1 2007Lluís Gómez-Pujol Abstract A traversing micro-erosion meter was used to measure rock surface micro-topography over 40 cm2 on a supra-tidal cliff face from early morning to late evening in late spring. From 06:00 hours to 22:00 hours the relative heights of 188 coordinates were obtained using the meter at 2-hour intervals, resulting in a data set of 1607 readings. Monitoring shows that rock surfaces are dynamic entities, with significant rise and fall relative to the first measurement at shorter timescales than previously reported. The maximum positive rise between readings was 0·261 mm and lowering was 0·126 mm. The pattern of change did not relate as expected to environmental variables such as temperature or insolation. Rather, the surface showed greater surface change in the early morning and late afternoon. It is hypothesized that this pattern relates to the expansion and contraction of lichen thalli as moisture is absorbed during higher humidity in the morning and late afternoon. The implications of these results for weathering studies are considered. Copyright © 2006 John Wiley & Sons, Ltd. [source] Does timing of daily feeding affect growth rates of juvenile three-spined sticklebacks, Gasterosteus aculeatus L?ECOLOGY OF FRESHWATER FISH, Issue 3 2001M. Ali Abstract , To assess the consequences of unpredictability in the availability of food, this study measured the effect of timing of the daily feeding on food consumption and growth rates of juvenile Gasterosteus aculeatus. The experiment lasted 21 days at 14 °C and a photoperiod of 10 hours of light and 14 hours of dark. Fish were housed individually and allocated at random to three treatments. The mean initial weight of fish was 0.402 g. Group 1 were fed live enchytraeid worms for 2 h after lights came on ("morning"), group 2 was offered food for 2 h randomly at any time of the day ("random") during the light period and group 3 received food for 2 h before the lights went off ("evening"). There was no significant effect of timing of feeding on mean daily food consumption, which was 0.052 g day,1. Daily consumption on the random schedule was more irregular than on the two fixed schedules. Timing of feeding had no significant effect on mean specific growth rate (G) (2.42% day,1), gross growth efficiency (23.3%), white muscle RNA:DNA ratio (5.6), carcase lipid content (31.7% dry wt) and carcase dry matter content (27.4% wet wt). Thus, a lack of predictability in the availability of food during the light period of the day did not impose a detectable cost on the growth performance of the stickleback., [source] Something ,Paralogical' Under the Sun: Lyotard's Postmodern Condition and science educationEDUCATIONAL PHILOSOPHY AND THEORY, Issue 2 2000Michalinos ZembylasArticle first published online: 2 NOV 200 Sometimes I dream that I am an astronaut. I land my spaceship on a distant planet. When I tell me children on that planet that on earth school is compulsory and that we have homework every evening, they split their sides laughing. And so I decide to stay with them for a long, long time, Well anyway, until the summer holidays. (Cited in Lyotard, 1995, p. xix) Each state of the mind is irreducible. The mere act of giving it a name, that is of classifying it, implies a falsification of it. From all this, it would be possible to deduce that there is no science in Tlon, let alone rational thought. The paradox, however, is that sciences exist, in countless number, The metaphysicians of Tlon are not looking for truth, nor even for an approximation of it; they are after a kind of amazement. They consider metaphysics a branch of fantastic literature. They know that a system is nothing more than the subordination of all aspects of the universe to some one of them. Even the phrase ,all the aspects' can be rejected, since it presupposes the impossible inclusion of the present moment, and of past moments. (Borges, 1962, p. 10) [source] Examining the relationship between typical drinking behavior and 21st birthday drinking behavior among college students: implications for event-specific preventionADDICTION, Issue 5 2009Melissa A. Lewis ABSTRACT Aims The purpose of this research was to: (i) compare 21st birthday drinking with typical drinking; (ii) assess the prevalence of negative consequences and risk behaviors experienced during the 21st birthday week; and (iii) examine the role of typical drinking and 21st birthday drinking in explaining 21st birthday week negative consequences and risk behaviors. Setting and participants Participants (n = 306; 50% male) included college students turning 21 at a Midwestern public university in the United States. Design and measurement Approximately 1 week prior to their 21st birthday, students completed measures of typical past 3-month alcohol consumption via a web-based survey. Following their birthday, students (n = 296; 50% male) completed measures of 21st birthday week drinking as well as negative consequences and risk behaviors. Findings Findings indicated that students consumed considerably larger amounts of alcohol during the week of their 21st birthdays in comparison to typical weekly consumption. Additionally, students experienced a variety of negative consequences and risk behaviors during the week of their 21st birthday, including hangovers, vomiting and not remembering part of the previous evening. Negative binomial regression results indicated that those most likely to experience more negative consequences and risk behaviors associated with 21st birthday drinking were those who consumed heavy amounts of alcohol the week of their birthday, but who did not typically drink excessively. Conclusions Findings underscore the need to develop event-specific prevention approaches for occasions associated with extreme drinking and provide direction for considering who may be at greatest risk for problems associated with celebratory drinking. [source] The Demands of 24/7 Coverage: Using Faculty Perceptions to Measure Fairness of the ScheduleACADEMIC EMERGENCY MEDICINE, Issue 1 2004Frank L. Zwemer Jr. MD Objectives: Ensuring fair, equitable scheduling of faculty who work 24-hour, 7-day-per-week (24/7) clinical coverage is a challenge for academic emergency medicine (EM). Because most emergency department care is at personally valuable times (evenings, weekends, nights), optimizing clinical work is essential for the academic mission. To evaluate schedule fairness, the authors developed objective criteria for stress of the schedule, modified the schedule to improve equality, and evaluated faculty perceptions. They hypothesized that improved equality would increase faculty satisfaction. Methods: Perceived stress was measured for types of clinical shifts. The seven daily shifts were classified as weekday, weekend, or holiday (plus one unique teaching-conference coverage shift). Faculty assigned perceived stress to shifts (ShiftStress) utilizing visual analog scales (VAS). Faculty schedules were measured (ShiftScores) for two years (1998,1999), and ShiftScore distribution of faculty was determined quarterly. Schedules were modified (1999) to reduce interindividual ShiftScore standard deviation (SD). The survey was performed pre- and postintervention. Results: Preintervention, 26 faculty (100% of eligible) assigned VAS to 22 shifts. Increased stress was perceived in progression (weekday data, 0,10 scale) from day to evening to night (2.07, 5.00, 6.67, respectively) and from weekday to weekend to holiday (day-shift data, 2.07, 4.93, 5.87). The intervention reduced interindividual ShiftScore SD by 21%. Postintervention survey revealed no change in perceived equality or satisfaction. Conclusions: Faculty perceived no improvement despite scheduling modifications that improved equality of the schedule and provided objective measures. Other predictors of stress, fairness, and satisfaction with the demanding clinical schedule must be identified to ensure the success of EM faculty. [source] Field Cricket Species Differences in the Temporal Patterns of Long-Distance Mate Attraction SignalsETHOLOGY, Issue 9 2006Susan M. Bertram We quantify variation in the temporal components of long-distance mate attraction signals produced by a North American field cricket, Gryllus rubens Scudder. Total signaling time, trilling bout duration, and hourly bout number exhibit high repeatability within individuals. Extensive variation exists across individuals: some males never signal while others signal for several hours each night; of the signalers, average trilling bout duration ranges from <1 min to well over an hour; some males produce only one trilling bout in an evening while others produce three bouts every 2 h. Body size, weight, wing morphology, and condition do not appear to explain the variation. We compare the temporal signaling components of G. rubens with its sister species, G. texensis. Although G. rubens produce slightly more trills per hour with slightly shorter trilling bout durations, the temporal components of these long-distance mate attraction signals are surprisingly similar across species. [source] Temporal Shifts in Conspicuousness: Mate Attraction Displays of the Texas Field Cricket, Gryllus texensisETHOLOGY, Issue 12 2004Susan M. Bertram Conspicuous mate attraction displays can simultaneously draw the attention of potential mates and predators, placing the signaller in peril of becoming prey. The balance between these countervailing forms of selection has the potential to shape mate attraction displays. Male Texas field crickets (Gryllus texensis; Orthoptera) signal acoustically to attract mates. Mating signals also attract acoustically orienting parasitoid flies (Ormia ochracea; Tachinidae). Both the abundance of female crickets and parasitoid flies fluctuates throughout the night. We show mate attraction displays exhibit diel shifts that correlate positively with expected female cricket presence and negatively with expected parasitoid fly activity. During early evening, when parasitoids are most common and mating is scarce, crickets signal less often and with reduced conspicuousness. During the second half of the evening, when sexually receptive females are abundant and parasitoids are scarce, crickets signal more often and with enhanced conspicuousness. These diel shifts in mate attraction displays do not appear to result from male crickets detecting parasitoid flies or female crickets and altering their behaviour accordingly. Males in close proximity to parasitoid flies or female crickets do not signal differently than lone males. Instead, diel pattern shifts in mate attraction displays appear to be a selective response to trade-offs between natural selection via parasitism and sexual selection via mate choice. [source] Therapy of circadian rhythm disorders in chronic fatigue syndrome: no symptomatic improvement with melatonin or phototherapyEUROPEAN JOURNAL OF CLINICAL INVESTIGATION, Issue 11 2002G. Williams Abstract Background Patients with chronic fatigue syndrome (CFS) show evidence of circadian rhythm disturbances. We aimed to determine whether CFS symptoms were alleviated by melatonin and bright-light phototherapy, which have been shown to improve circadian rhythm disorders and fatigue in jet-lag and shift workers. Design Thirty patients with unexplained fatigue for > 6 months were initially assessed using placebo and then received melatonin (5 mg in the evening) and phototherapy (2500 Lux for 1 h in the morning), each for 12 weeks in random order separated by a washout period. Principal symptoms of CFS were measured by visual analogue scales, the Shortform (SF-36) Health Survey, Mental Fatigue Inventory and Hospital Anxiety and Depression Scale. We also determined the circadian rhythm of body temperature, timing of the onset of melatonin secretion, and the relationship between these. Results Neither intervention showed any significant effect on any of the principal symptoms or on general measures of physical or mental health. Compared with placebo, neither body temperature rhythm nor onset of melatonin secretion was significantly altered by either treatment, except for a slight advance of temperature phase (0·8 h; P = 0·04) with phototherapy. Conclusion Melatonin and bright-light phototherapy appear ineffective in CFS. Both treatments are being prescribed for CFS sufferers by medical and alternative practitioners. Their unregulated use should be prohibited unless, or until, clear benefits are convincingly demonstrated. [source] Daytime variations of interleukin-1, in gingival crevicular fluidEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 1 2008Angela Bergmann Interleukin-1, (IL-1,) is an important parameter in periodontal research because of its role in inflammation and bone resorption. One measure used to assess local IL-1, concentrations is analysis of its levels in gingival crevicular fluid (GCF). While studies on serum IL-1, concentrations indicate a circadian rhythm of this parameter, nothing is known about daytime variations of IL-1, in GCF. The present study thus aimed to analyse such variations. Daytime variations of GCF-IL-1, between 08:00 and 22:00 h were assessed, with a time resolution of 2 h, in 28 periodontally healthy subjects. The data showed a significant variation throughout the day, with the lowest concentrations and total amounts in the morning and the highest in the evening. The effect sizes of comparisons between morning and evening samples were medium to high and corresponded in magnitude to those reported in other published research comparing healthy sites and those affected by periodontitis. The smallest daytime variations were found to occur between 12:00 h and 18:00 h. It is concluded that daytime variations in GCF-IL-1, are large enough to be able to mimic or mask differences caused by clinical factors. [source] Hash browns for breakfast, baked potatoes for dinner: Changes in food attitudes as a function of motivation and contextEUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY, Issue 2 2005Shelley N. Aikman Two studies investigated whether participants' motivational state and the context in which attitude reports are made influence food attitudes. Specifically, these studies examined whether hunger and the time-typicality of foods (i.e. match or mismatch between the time when a food is typically eaten and the time the attitude is reported) interact to influence reported attitudes. Study 1 suggests that hunger leads to more positive attitudes toward foods that are typically eaten at the time the attitude report is made (e.g. breakfast foods in morning) compared to foods not typically eaten at the time the attitude report is made (e.g. breakfast foods in evening). Study 2 replicates this time-typical effect of hunger and suggests that time-typical experience rather than general experience with foods is important for hunger induced attitude change. By demonstrating that food attitudes are influenced by motivational states and the match between when the attitude is reported and when it is typically encountered, the present studies extend previous attitude theory and research that has identified other contextual factors that influence attitude reports. Copyright © 2004 John Wiley & Sons, Ltd. [source] Night stocking facilitates nocturnal migration of hatchery-reared Atlantic salmon, Salmo salar, smoltsFISHERIES MANAGEMENT & ECOLOGY, Issue 1 2009L. J. ROBERTS Abstract, Hatchery-reared salmon, Salmo salar L., smolts are generally stocked during daylight hours, but the natural migration of smolts tends to occur at night. Recapture rates and timing of migration were compared between Atlantic salmon smolts stocked during the day and during the evening. Timing of release had no significant effect on the number of smolts recaptured, but had a strong effect on nocturnal behaviour. When stocked in the evening (but not during the day) hatchery-reared smolts moved almost exclusively during the night. This study suggests that timing the release to coincide with the natural time of smolt migration may provide valuable acclimatisation and facilitate nocturnal smolt passage. [source] A ,polarisation sun-dial' dictates the optimal time of day for dispersal by flying aquatic insectsFRESHWATER BIOLOGY, Issue 7 2006ZOLTÁN CSABAI Summary 1. Daily changes in the flight activity of aquatic insects have been investigated in only a few water beetles and bugs. The diel flight periodicity of aquatic insects and the environmental factors governing it are poorly understood. 2. We found that primary aquatic insects belonging to 99 taxa (78 Coleoptera, 21 Heteroptera) fly predominantly in mid-morning, and/or around noon and/or at nightfall. There appears to be at least four different types of diurnal flight activity rhythm in aquatic insects, characterised by peak(s): (i) in mid-morning; (ii) in the evening; (iii) both in mid-morning and the evening; (iv) around noon and again in the evening. These activity maxima are quite general and cannot be explained exclusively by daily fluctuations of air temperature, humidity, wind speed and risks of predation, which are all somewhat stochastic. 3. We found experimental evidence that the proportion (%) P(,) of reflecting surfaces detectable polarotactically as ,water' is always maximal at the lowest (dawn and dusk) and highest (noon) angles of solar elevation (,) for dark reflectors while P(,) is maximal at dawn and dusk (low solar elevations) for bright reflectors under clear or partly cloudy skies. 4. From the temporal coincidence between peaks in the diel flight activity of primary aquatic insects and the polarotactic detectability P(,) of water surfaces we conclude that the optimal times of day for aquatic insects to disperse are the periods of low and high solar elevations ,. The , -dependent reflection,polarisation patterns, combined with an appropriate air temperature, clearly explain why polarotactic aquatic insects disperse to new habitats in mid-morning, and/or around noon and/or at dusk. We call this phenomenon the ,polarisation sun-dial' of dispersing aquatic insects. [source] Diel interactions between prey behaviour and feeding in an invasive fish, the round goby, in a North American riverFRESHWATER BIOLOGY, Issue 4 2006STEPHANIE M. CARMAN Summary 1. We studied the diet of the invasive round goby (Neogobius melanostomus) on a diel basis in the Flint River, a warmwater stream in Michigan, U.S.A. Diet and available prey samples were collected seven times over a 24 h period in four consecutive months. The section of river studied lacked zebra mussels (Dreissena polymorpha), the primary prey of adult round gobies elsewhere in the Great Lakes region. 2. Diet changed on a diel basis with hydropsychid caddisfly and chironomid larvae predominating during the day, chironomid pupae dominating in the evening and heptageniid mayflies dominating at night. Simultaneous study of macroinvertebrate drift suggested that caddisfly and chironomid larvae were most likely picked from submerged rocks, chironomid pupae were most likely taken during their emergent ascent and mayflies were either captured from the drift or picked from rocks. 3. The Flint River lacks a diverse darter (Family: Percidae) and sculpin (Family: Cottidae) fauna and it appears that the round goby has occupied a generalised darter/sculpin niche. Our results indicate that round gobies have the potential to invade successfully riverine systems, particularly those lacking a diverse benthic fish assemblage. [source] Evidence for episodic memory in a pavlovian conditioning procedure in ratsHIPPOCAMPUS, Issue 12 2007Jamus O'Brien Abstract In an effort to evaluate episodic memory processes in the rat, we developed a novel Pavlovian conditioning procedure. Rats explored two distinctive contexts, one in the morning and the other in the evening. Subsequently, either in the morning or the evening, they received a foot shock immediately upon entry into a third context that equally resembled the two explored contexts. When conditioned freezing was measured at an intermediate time of day, rats showed significantly more fear of the context congruent with the time of day of the foot shock. Thus, rats automatically form an integrated time,place memory that can be flexibly updated by future events, essential characteristics of episodic memory. © 2007 Wiley-Liss, Inc. [source] Diurnal variations in first lapses to smoking for nicotine patch usersHUMAN PSYCHOPHARMACOLOGY: CLINICAL AND EXPERIMENTAL, Issue 5 2003Michael Ussher Abstract Amongst those not using nicotine replacement therapy (NRT), first lapses to smoking have been shown to be more common in the afternoons and evenings than the mornings. The present study investigated whether first lapses amongst those using 16,h nicotine patches follow a similar pattern. This is of interest because 16,h patches may not provide sufficient nicotine early in the morning to meet the needs of smokers. 200 male and female smokers attended a cessation programme combining behavioural support and 16,h nicotine patches. During the first 2 weeks of smoking abstinence 70 smokers reported first lapses. The frequency of first lapses was significantly higher in the afternoons (12.00,18.00,h, 30 lapses) and evenings (18.00,24.00, 35 lapses) than in the mornings (24.00,12.00, five lapses, p,<,0.001 for both comparisons). There was no detectable difference between the rates of first lapse in the afternoon and evening. In conclusion, abstaining smokers using 16,h nicotine patches are more likely to experience their first lapse in the afternoon or evening rather than in the morning. Despite nicotine patches providing limited nicotine replacement for the first few hours after waking, there is no evidence that this undermines quit attempts by failing to prevent lapses during that time. Copyright © 2003 John Wiley & Sons, Ltd. [source] The influence of diurnal temperatures on the hydrochemistry of a tufa-depositing streamHYDROLOGICAL PROCESSES, Issue 17 2003R. Drysdale Abstract At-a-station diurnal variations in carbonate hydrochemistry were measured during four observation periods at Davys Creek, a tufa-depositing stream in central NSW, Australia. Major ion concentrations and continuously logged measurements of specific conductivity, pH and temperature showed that changes in the amount of CaCO3 deposited upstream of the study reach were directly related to changes in diurnal water temperatures, which control the rate of CO2 efflux to the atmosphere. The greatest upstream losses occurred during the mid-afternoon water temperature peak, whereas the lowest upstream losses occurred at sunrise, when water temperatures were at their lowest. Cloudy days at all times of the year produced small diurnal water temperatures ranges (c. 2,5°C) and, consequently, relatively small changes in upstream CaCO3 loss (23,50 mg L,1) through the day. Clear sunny days, especially during summer months, produced large diurnal water temperature changes (up to c. 11°C), which in turn triggered diurnal changes in upstream CaCO3 loss of up to 100 mg L,1. By implication, the active reach of tufa deposition must advance downstream and increase in length during the evening and vice versa during the day. Given that the temperature of Davys Creek waters are a function of insolation, changes in the reach of tufa deposition under baseflow conditions are a direct function of the prevailing weather. This has implications for the palaeoclimatic interpretation of fossil tufa deposits. Copyright © 2003 John Wiley & Sons, Ltd. [source] GPS tracking of the foraging movements of Manx Shearwaters Puffinus puffinus breeding on Skomer Island, WalesIBIS, Issue 3 2008T. C. GUILFORD We report the first successful use of miniature Global Positioning System loggers to track the ocean-going behaviour of a c. 400 g seabird, the Manx Shearwater Puffinus puffinus. Breeding birds were tracked over three field seasons during the incubation and chick-rearing periods on their foraging excursions from the large colony on Skomer Island, Pembrokeshire, UK. Foraging effort was concentrated in the Irish Sea. Likely foraging areas were identified to the north, and more diffusely to the west of the colony. No foraging excursions were recorded significantly to the south of the colony, conflicting with the conclusions of earlier studies based on ringing recoveries and observations. We discuss several explanations including the hypothesis that foraging may have shifted substantially northwards in recent decades. We found no obvious relationship between birds' positions and water depth, although there was a suggestion that observations at night were in shallower water than those during the day. We also found that, despite the fact that Shearwaters can be observed rafting off-shore from their colonies in the hours prior to making landfall at night, breeding birds are usually located much further from the colony in the last 8 h before arrival, a finding that has significance for the likely effectiveness of marine protection areas if they are only local to the colony. Short sequences of precise second-by-second fixes showed that movement speeds were bimodal, corresponding to sitting on the water (most common at night and around midday) and flying (most common in the morning and evening), with flight behaviour separable into erratic (indicative of searching for food) and directional (indicative of travelling). We also provide a first direct measurement of mean flight speed during directional flight (c. 40 km/h), slower than a Shearwater's predicted maximum range velocity, suggesting that birds are exploiting wave or dynamic soaring during long-distance travel. [source] Objective determination of fatigue development following sun exposure using Advanced Trail Making TestINTERNATIONAL JOURNAL OF COSMETIC SCIENCE, Issue 1 2004T. Horikoshi Synopsis Sun exposure during leisure activity evokes fatigue. We employed the Advanced Trail Making Test (ATMT), a recently developed objective method of evaluating brain function performance used to measure mental fatigue, for objective determination of fatigue development caused by solar exposure to the human body. First, a survey of consumer awareness was performed, and fatigue development from solar exposure was generally recognized in both summer and spring. In the field test, 15 males (26,41 years old) received sun exposure equivalent to 100 kJ m,2 of ultraviolet radiation three to four times each day for 3 days, during which the subjects wore a short sleeve shirt and a short pant, and covered their head with a towel. A significant increase in scores for subjective sense of fatigue was observed in the evening of all 3 days following sun exposure and on the fourth day, which had no exposure, as well as in the morning of the third and fourth days, as compared with those periods during the control week, which did not have experimental solar exposure. ATMT showed a significant increase in average value in the evening of the first and second days following sun exposure, as well as in the morning of the third and fourth days. In addition, increases in body temperature and heart rate were observed during the exposure periods. The results of multiple regression analysis of subjective feelings showed that fatigue caused by solar exposure was qualitatively different from that in the control week. These results suggest that brain function performance declined following solar exposure as did fatigue development. ATMT results may be useful for quantitative and objective evaluation of mental fatigue caused by sun exposure, along with development of sun care products for the prevention of solar-caused fatigue. Résumé L'exposition au soleil pendant les activités de loisir provoque la fatigue. Nous avons utilisé la méthode ,Advanced Trail Making Test (ATMT)', une méthode d'évaluation objective de la faculté du fonctionnement du cerveau, récemment développée pour mesurer la fatigue mentale, dans le but de déterminer objectivement le processus de la fatigue du corps humain causée par l'exposition au soleil. Premièrement, nous avons mené un sondage sur la conscience du consommateur, et une évolution de la fatigue venant de l'exposition au soleil a été notée dans l'ensemble au printemps et en été. Lors des expériences sur le terrain, 15 sujets mâles (de 26 à 41 ans) ont été exposés au soleil, 3 à 4 fois par jour, pendant 3 jours. L'exposition était égale à 100 kJ m,2 de radiation ultraviolette. Pendant ces 3 jours, les sujets étaient vêtus d'une chemize à manches courtes et d'un pantalon court, et avaient la tête couverte d'une serviette. Nous avons observé une augmentation considérable du score représentant la sensation subjective de fatigue le soir des 3 jours suivant l'exposition au soleil, et le soir du quatrième jour, sans exposition, de même que le matin des troisième et quatrième jours, en comparaison avec les mêmes périodes de la semaine de contrôle, sans exposition expérimentale au soleil. Les résultats du test de l'ATMT ont montré une augmentation considérable de la valeur moyenne le soir des premier et second jours suivant l'exposition au soleil, aussi bien que le matin des troisième et quatrième jours. De plus, nous avons observé une augmentation de la température du corps et du pouls pendant les moments d'exposition. L'analyse de régression multiple des résultats de la sensation subjective a montré que la fatigue causée par l'exposition était qualitativement différente que celle de la semaine de contrôle. Ces résultats suggèrent que la faculté de fonctionnement du cerveau baisse après l'exposition au soleil, comme le fait la fatigue. Les résultats de l'ATMT peuvent être utiles pour l'évaluation quantitative et objective de la fatigue mentale causée par l'exposition au soleil, ceci allant de pair avec le développement des produits de soin contre le soleil pour la prévention de la fatigue causée par le soleil. [source] Agitation in the morning: symptom of depression in dementia?INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 4 2009Anna-Katharina Theison Abstract Objective To investigate the possible correlations between depression in dementia and agitation in the morning by a prospective naturalistic study. Methods Data were collected from three independent nursing homes in an urban setting. Trained nursing home staff pre-selected 110 demented and agitated patients with a minimum age of 60 years. Three main groups were formed based on agitation peak either: in the morning, evening or none. Each is respectively: ,sunrisers', ,sundowners' and ,constants'. Agitation was assessed by the same staff twice a day for a 2-week timeframe using the CMAI (Cohen-Mansfield Agitation Inventory); MMSE (Mini-Mental State Examination) for dementia re-evaluation and staging; CSDD (Cornell Score for Depression in Dementia) for depression screening. Results Sixty-three (60%) of all patients were depressive but only 16 patients of them were treated with antidepressants. Forty-four patients were classified as belonging to the ,sunriser' group, 38 to the ,sundowners' and 23 to the ,constants'. There were no significant differences in depression between the three groups: p,=,0.798 for the difference in proportion of depressed or not depressed people; p,=,0.272 for the difference in raw Cornell-score between agitation in the morning and evening. Conclusion ,Sunrising' appears to play an important role in dementia. In our population agitation was slightly more common in the morning than in the evening, but peak of agitation does not seem to be related to depression in dementia. Our data supports that the diagnosis of depression is still often overlooked in demented and agitated persons. Copyright © 2008 John Wiley & Sons, Ltd. [source] Patient Response to the Fast-Track ExperienceINTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2003Jane Flanagan PURPOSE To describe patients' functional health, symptom distress, and recovery at home across a fasttrack perioperative experience. METHODS A nonexperimental, descriptive, correlational design using pre/post test measures and openended questions captured the fast-tracking experience. A convenience sample included 77 patients entering the same-day surgery unit to undergo arthroscopy with general anesthesia and planned fast-track recovery. In the preadmission test area, patients were asked by a nurse to participate in the study. If they agreed and met selection criteria, a nurse completed a demographic sheet, the Foster and Jones Functional Health Pattern Assessment Screeing Tool (FHPAST), and the Symptom Distress Scale (SDS). On the evening of surgery, a nurse called the patient to review the SDS to be completed by phone. At 72 hours after surgery, the FHPAST, the SDS, and a 72-hour open-ended questionnaire were administered to understand the patient experience of fast-tracking. FINDINGS At 12 hours nurses reported patients were "euphoric" and it was difficult to imagine pain or other symptoms. Some patients complained of nausea and fatigue. Most patients had family present. At 72 hours patients described unmet expectations, fatigue, immobility, ineffective pain management, sleep disturbance, and nausea. Interventions included teaching, coaching, and reassurance. Some patients continued to have nursing problems at 72 hours and benefited from a telephone follow-up call. CONCLUSIONS Preliminary results suggest that nursing diagnoses, interventions, and outcomes can be used to describe patient responses to the fast-track experience. Results indicate a need for practice changes to include innovative models and further research to measure outcomes. Fast-tracking can be effective, but requires clinical reasoning by nurses to guide the individual's healing. A coaching intervention seems to enhance patient satisfaction and a sense of being cared for. [source] R1 Effect of brushing on dental erosionINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 2006A. Z. ABDULLAH Objectives:, To compare the effect of brushing versus dipping using three different concentrations of fluoridated toothpastes on enamel erosion in vitro using surface profilometry. Methods:, In a randomised, blinded experiment six groups of seven enamel slabs each were cut and mounted into resin blocks, ground and checked for surface flatness using a scanning profilometer (Scantron Proscan 2000). Each slabs' surface was covered with nail varnish except for a small window (1 x 2 mm). Each group was immersed under static conditions for 2 minutes, five times daily in fresh 200 ml aliquots of citric acid 0.3% (pH = 3.6). In addition, three groups were immersed in three different fluoridated toothpastes (0 ppm F, 1100 ppm F, or 1450 ppm F) twice daily morning and evening for 2 minutes each time. The other three groups were brushed using the same toothpastes twice daily for 2 minutes each time. The total cycling period lasted 16 days during which the slabs were incubated overnight and between erosive challenges in artificial saliva at 37oC. A 60-minute gap was left between daytime immersions. Before and after dipping in the erosive solutions the slabs were rinsed with de-ionised water. After the cycling period, the slabs were analysed with the scanning profilometer to measure the amount of surface loss at day 4, 8, 12, and 16. Results:, Surface loss ± SD of enamel at day 16 caused by citric acid combined with dipping using non-fluoridated toothpaste was 61.19 ± 8.50 ,m, 1100 ppm F was 43.44 ± 10.94 ,m or 1450 ppm F was 34.98 ± 4.29 ,m. Surface Loss ± SD of enamel at day 16 caused by citric acid combined with brushing using 0 ppm F, 1100 ppm F, or 1450 ppm F toothpastes was 75.62 ±10.64, 63.51 ± 5.27 and 48.94 ± 13.67 ,m, respectively. Conclusion:, Enamel erosion was increased significantly (CI 95%) using brushing with toothpastes compared to dipping. In addition, enamel erosion showed a dose-response to fluoridated toothpastes. Acknowledgment:, This project was supported by GlaxoSmithKline. [source] Dexamethasone decreases oxycodone consumption following osteotomy of the first metatarsal bone: a randomized controlled trial in day surgeryACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 3 2010K. MATTILA Background: Dexamethasone may improve multimodal pain management following painful orthopedic day surgery procedures, and decrease the need for post-operative opioids. We hypothesized that dexamethasone would reduce the need for oxycodone after surgical correction of hallux valgus. Methods: Sixty patients planned to undergo unilateral osteotomy of the first metatarsal as a day surgery procedure were randomized to receive pre-operatively and 24 h afterwards, orally either dexamethasone 9 mg or placebo. For pain medication, paracetamol and oxycodone capsules for rescue medication were given. The study ended on the evening of the third post-operative day (POD). The primary endpoint was the cumulative oxycodone consumption. Secondary endpoints were maximal pain scores before oxycodone intake and daily oxycodone doses. In addition, adverse effects were documented. Results: Twenty-five patients in both groups completed the study. The total median (range) oxycodone consumption during the study period was 45 (0,165) mg in the dexamethasone group and 78 (15,175) mg in the placebo group (P=0.049). The major differences in oxycodone consumption were seen on PODs 0,1. In the dexamethasone group, patients reported significantly lower pain scores on PODs 0,1, and significantly less nausea on POD 1. On PODs 2,3 no differences were seen. However, at 2 weeks post-operatively, patient satisfaction to drug therapy did not differ , in both groups 81% would have chosen the same medication again. Conclusion: Oral dexamethasone combined with paracetamol significantly reduced total oxycodone consumption following surgical correction of hallux valgus. [source] Evening Light Exposure: Implications for Sleep and DepressionJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 4 2002Geralyn M. Wallace-Guy MA OBJECTIVES: To examine whether dim illumination in the evening is a factor in sleep disturbances of aging, depression, and circadian phase advance. DESIGN: One-week continuous recordings were made to record illumination exposure and to infer 24-hour sleep patterns from wrist activity. SETTING: Recordings took place during normal home and community activities. PARTICIPANTS: Complete data of 154 postmenopausal women, mean age 66.7, were selected from a larger study of participants in the Women's Health Initiative. MEASUREMENTS: Illumination in lux was averaged for 4 hours before bedtime and over 24 hours. Mood was measured using a brief eight-item screen. RESULTS: Illumination in the 4 hours before bedtime was quite dim: median 24 lux. Nevertheless, evening light exposure was not significantly related to sleep amount (in bed or out of bed) sleep efficiency, sleep latency, wake within sleep, or mood. In contrast, the overall amount of light throughout the 24 hours was negatively correlated with sleep latency, wake within sleep, and depressed mood. CONCLUSIONS: Low evening lighting does not appear to be a crucial factor in sleep and mood disturbances of aging, but overall lighting may contribute to these disturbances. [source] Physical Rehabilitation Alters Body Composition in Chronically Obese CatJOURNAL OF ANIMAL PHYSIOLOGY AND NUTRITION, Issue 2 2008Sarah K. Abood Successful weight loss in obese dogs and cats is difficult, and even more so in pets who don't exercise regularly or are inactive. Over the past 10 years, physical rehabilitation (or physio-therapy) as a treatment or wellness modality has been gaining popularity in small animal veterinary practice. This case report describes the use of physical rehabilitation to achieve weight loss and a decreased body condition score in a chronically obese cat. A 7-year old, female-spayed domestic, short-haired cat, weighing 15 lbs, was evaluated by the Nutrition Support Service at Michigan State University's Veterinary Teaching Hospital for a weight management consultation. The cat had a history of chronic obesity and the owner reported feeding a variety of reduced or restricted-calorie foods, both canned and dry versions, over the previous 5 years. The home environment included three other cats, none of which were overweight. All cats were fed once daily in the evening; separate food bowls were provided for each cat, but multiple water bowls and litter boxes were shared. A course of 8 weeks of physio-therapy was recommended, with a target weight of 12 lbs identified, to which the owner agreed. Body weight, body condition score and circumference measures of axillary, rib and flank areas were taken at the initial visit, and at 3 weeks and 8 weeks. At the beginning of the 8th week, the cat's body weight had dropped from 15 lbs to 14.2 lbs, and the body condition score shifted down from 9 to 8 out of 9. More dramatically, however, were changes measured in body circumference: from 43 cm to 38.6 cm in the axilla (11% decrease); 50.3 cm to 42.5 cm in the ribs (15.5% decrease); 46 cm to 41 cm in the flank (11% decrease). To the author's knowledge, this is the first report confirming weight loss, reduced body condition score, and altered body composition in a cat as a direct result of physical rehabilitation. [source] The effect of a dentifrice and mouth rinse combination containing amine fluoride/stannous fluoride on plaque and gingivitis: a 6-month field studyJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 7 2005S. Paraskevas Abstract Aim: To examine the effect of amine fluoride/stannous fluoride (AmF/SnF2)-containing dentifrice and mouth rinse on plaque formation and gingivitis as compared with habitual oral hygiene procedures with a regular sodium fluoride (NaF) dentifrice. Material and Methods: In total, 22 general practices participated in this research project. The participants (N=281) were randomly assigned into two groups: the test group received an AmF/SnF2 dentifrice,mouth rinse combination and the control group received a NaF-containing dentifrice. The patients were requested to brush twice daily for approximately 2 min. The subjects of the test group had to rinse additionally in the evening for 30 s with 10 ml of the mouth rinse. Results: Both groups started with comparable scores of plaque, bleeding and staining. At 6 months, the plaque scores were 0.95 for the AmF/SnF2 group and 0.99 for the NaF group (decrease of 16% and 10%, respectively). Bleeding scores, although significantly different from baseline, did not show differences between the two regimes. At the end of the experimental period, the overall staining was more pronounced in the AmF/SnF2 group (41%) than the NaF group (26%). Both plaque reduction and increase in staining seemed to be correlated to the amount of mouth rinse used in the test group. Conclusion: In instruction-resistant patients recruited from dental practices, the combined use of AmF/SnF2 did not decrease gingivitis at a significant level in comparison with the regular regime of two times daily brushing with an NaF-containing dentifrice. However, the above-mentioned combination resulted in greater plaque reduction than that observed with the use of the conventional dentifrice. When used according to the manufacturer's instructions, this effect on plaque scores was more pronounced. [source] | |||||||||||||||||||||||||||||||||||||||||||