Search results for "pause"

Italian Association of Sleep Medicine (AIMS) position statement and guideline on the treatment of menopausal sleep disorders

2019

Insomnia, vasomotor symptoms (VMS) and depression often co-occur after the menopause, with consequent health problems and reductions in quality of life. The aim of this position statement is to provide evidence-based advice on the management of postmenopausal sleep disorders derived from a systematic review of the literature. The latter yielded results on VMS, insomnia, circadian rhythm disorders, obstructive sleep apnea (OSA) and restless leg syndrome (RLS). Overall, the studies show that menopausal hormone therapy (MHT) improves VMS, insomnia, and mood. Several antidepressants can improve insomnia, either on their own or in association with MHT; these include selective serotonin reuptake …

Sleep disorders in menopause: Results from an Italian multicentric study

2016

Menopause in the female life cycle is a special period due to important hormonal, physical and psychological changes. Sleep disruption represents a common complaint for midlife and menopausal women, related to primary sleep disorders, including insomnia, sleep disordered breathing, restless legs syndrome (RLS), mood and anxiety disorder, other medical illness, hormonal-related vasomotor symptoms, and aging per se. Aims of our study were to evaluate the prevalence of sleep disorders in a sample of pre and post menopausal women, and to investigate the relationship between sleep and other medical disorders, and life habits. Among workers in the six participant centers, we enrolled 334 women, a…

Efficacy of Low-Dose Paroxetine for the Treatment of Hot Flushes in Surgical and Physiological Postmenopausal Women: Systematic Review and Meta-Analy…

2019

Background and Objectives: Hot flushes and sleep disturbances are the most common vasomotor symptoms (VMS) reported by postmenopausal women. Hormonal treatment is to date referred to as the gold standard approach but not suitable for all the patients. Alternative treatments are needed in case of a contraindication to menopausal hormone therapy (MHT), adverse side effects, and poor compliance. Paroxetine salt is the only nonhormonal medication approved by the US Food and Drug Administration for the management of VMS. Nonetheless, few trials with low consensus are available about this topic. In this review, we aimed to evaluate the efficacy of low-dose paroxetine therapy in the treatment of v…

Deterioration patterns in diapausing egg banks of Brachionus (Müller, 1786) rotifer species

2005

Rotifers are cyclical parthenogens that produce sexual diapausing eggs at some stage in their life cycle. These eggs are encysted embryos that remain viable for extended periods in lake and pond sediments, thus acting as an egg bank with many ecological and evolutionary consequences. Despite its importance to rotifer evolution, there are no studies on resting egg deterioration and associated processes in natural environments. In this study, more than 4000 diapausing eggs of species from the Brachionus plicatilis complex, which includes several closely related cryptic species, were collected from different sediment depths in 15 ponds in eastern Spain and were classified according to three fe…

Management of urinary incontinence in postmenopausal women: An EMAS clinical guide.

2020

INTRODUCTION: The prevalence of urinary incontinence and of other lower urinary tract symptoms increases after the menopause and affects between 38 % and 55 % of women aged over 60 years. While urinary incontinence has a profound impact on quality of life, few affected women seek care. AIM: The aim of this clinical guide is to provide an evidence-based approach to the management of urinary incontinence in postmenopausal women. MATERIALS AND METHODS: Literature review and consensus of expert opinion. SUMMARY RECOMMENDATIONS: Healthcare professionals should consider urinary incontinence a clinical priority and develop appropriate diagnostic skills. They should be able to identify and manage a…

Effect of temperature on the duration of sensitive period and on the number of photoperiodic cycles required for the induction of reproductive diapau…

2013

Abstract Correct timing of the induction of photoperiodic reproductive diapause has been found to play an important role in the life cycle of several northern insect species. However, even when the environmental conditions are favourable for diapause, the switch to diapause can only take place when the females are in a proper developmental and physiological stage, referred to as the sensitive period (SP) for diapause. We have previously shown that in a northern fly species, Drosophila montana, the developmental pathway of the ovaries (direct maturation vs. diapause) is determined by photoperiodic cues that the females receive after eclosion. Here, we have studied the effects of temperature …

Boceprevir is highly effective in treatment-experienced hepatitis C virus-positive genotype-1 menopausal women

2014

AIM: To investigate the safety/efficacy of Boceprevirbased triple therapy in hepatitis C virus (HCV)-G1 menopausal women who were historic relapsers, partial-responders and null-responders. METHODS: In this single-assignment, unblinded study, we treated fifty-six menopausal women with HCV-G1, 46% F3-F4, and previous PEG-α/RBV failure (7% null, 41% non-responder, and 52% relapser) with 4 wk lead-in with PEG-IFNα2b/RBV followed by PEGIFNα2b/RBV+Boceprevir for 32 wk, with an additional 12 wk of PEG-IFN-α-2b/RBV if patients were HCV-RNA-positive by week 8. In previous null-responders, 44 wk of triple therapy was used. The primary objective of retreatment was to verify whether a sustained virolo…

2009

Abstract. In-situ ice crystal size distribution measurements are presented within the tropical troposphere and lower stratosphere. The measurements were performed using a combination of a Forward Scattering Spectrometer Probe (FSSP-100) and a Cloud Imaging Probe (CIP), which were installed on the Russian high altitude research aircraft M55 "Geophysica" during the SCOUT-O3 campaign in Darwin, Australia. One of the objectives of the campaign was to characterise the Hector convective system, which appears on an almost daily basis during the pre-monsoon season over the Tiwi Islands, north of Darwin. In total 90 encounters with ice clouds, between 10 and 19 km altitude were selected from the dat…

Stratosphere–Troposphere Exchange and Its Relation to Potential Vorticity Streamers and Cutoffs near the Extratropical Tropopause

2007

Abstract Two distinct dynamical processes near the dynamical tropopause (2-PVU surface) and their relation are discussed in this study: stratosphere–troposphere exchange (STE) and the formation of distinct potential vorticity (PV) structures in the form of stratospheric and tropospheric streamers and cutoffs on isentropic surfaces. Two previously compiled climatologies based upon the 15-yr European Centre for Medium-Range Weather Forecasts Re-Analysis (ERA-15) dataset (from 1979 to 1993) are used to establish and quantify the link between STE and these PV structures. An event-based analysis reveals a strong relation between the two processes. For instance, on isentropes below 320 K, 30%–50%…

Resolution Dependence of the Tropopause Inversion Layer in an Idealized Model for Upper-Tropospheric Anticyclones

2009

Abstract This note investigates the dependence of the extratropical tropopause inversion layer (TIL) on numerical resolution in an idealized modeling framework. Axisymmetric upper-tropospheric anticyclones are constructed by specifying potential vorticity (PV) and solving the nonlinear PV-inversion problem. The PV distribution has a smooth but near-discontinuous change of PV across the tropopause in a transition zone with vertical depth δ. For fixed δ the strength of the TIL changes with changing resolution until the transition zone is resolved by a fairly large number of grid points. The quality-controlled numerical solutions are used to study the behavior for δ → 0. This limit can lead to…