scholarly journals 1225 Sexsomnia: A Case of Sleep Masturbation And Sleeping In An Open Work Environment

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A468-A468
Author(s):  
David S Kim ◽  
Brian E Foster ◽  
Meagan M Rizzo ◽  
Jacob F Collen ◽  
Rodolfo Soca

Abstract Introduction Sleep sex or sexsomnia is classified in the International Classification of Sleep Disorders as a non-rapid eye movement (NREM) parasomnia. The overall prevalence is unknown but several conditions such as obstructive sleep apnea (OSA), shift work, and/or insufficient sleep have been reported as factors affecting the frequency of NREM parasomnias. Parasomnias, with sexsomnias in particular, can cause significant emotional distress to patients and their families. We present a case of co-morbid sexsomnia and OSA in a patient serving in the military that had the complicating factor of sleeping in open quarters. Report of Case A 40-year-old male in active duty military without significant past medical history or medication use presented to clinic with a two year history of disruptive sleep masturbation reported by wife. Patient’s wife reported no instances of attempted sexual intercourse. The patient had no recollection of the episodes. The frequency and nature of the episodes were causing personal and marital distress. Patient was also concerned about work responsibilities, since he was periodically required to sleep in open environments. After initial clinic evaluation, patient underwent a video polysomnography (vPSG) with an extended EEG montage. No parasomnia activity was captured on vPSG but patient was diagnosed with moderate OSA. He was started on continuous positive airway pressure (CPAP) therapy, resulting in decreased number of episodes with relapses corresponding to nights without CPAP usage. Conclusion Sexsomnia cases require careful history taking and evaluation. The nature of the episodes and the sleep environment of the patient must be examined for any medico-legal ramification as there are court precedents of sexual assault charges made in sexsomnia-related cases. The military environment is unique with group-sleeping conditions, often in austere environments. If sexsomnia were to be misinterpreted as indecent exposure, under the military code of conduct, this could have significant career implications.

2020 ◽  
Vol 9 (10) ◽  
pp. 3170 ◽  
Author(s):  
Galit Almoznino ◽  
Ortal Kessler Baruch ◽  
Ron Kedem ◽  
Noam E. Protter ◽  
Boaz Shay ◽  
...  

“SOS teeth” are defined as the first priority teeth for treatment, that have distinct cavitation reaching the pulp chamber or only root fragments are present. These are teeth with severe morbidity, that may require pulp capping, root canal treatment, or extraction, and therefore should be treated first. The study aims to explore whether or not a metabolic syndrome (MetS) is associated with SOS teeth. To that end, we performed across-sectional records-based study of a nationally representative sample of 132,529 military personnel aged 18–50 years, who attended the military dental clinics for one year. The mean number of SOS had no statistically significant association with: smoking (p = 0.858), alcohol consumption (p = 0.878), hypertension (p = 0.429), diabetes mellitus (p = 0.866), impaired glucose tolerance (p = 0.909), hyperlipidemia (p = 0.246), ischemic heart disease (p = 0.694), S/P myocardial infarction (p = 0.957), obstructive sleep apnea (p = 0.395), fatty liver (p = 0.074), S/P stroke (p = 0.589), and S/P transient ischemic attack (p = 0.095) and with parental history of: diabetes (p = 0.396)], cardiovascular disease (p = 0.360), stroke (p = 0.368), and sudden death (p = 0.063) as well as with any of the medical auxiliary examinations (p > 0.05). Cariogenic diet was positively associated with SOS teeth (p < 0.001). We conclude that SOS teeth had no statistically significant association with MetS components or with conditions that are consequences or associated with MetS. The only statistically significant parameter was a cariogenic diet, a well-known risk factor for caries and MetS.


2020 ◽  
Vol 30 (2) ◽  
pp. 80-91
Author(s):  
Bartosz Michalak ◽  
Oliwia Graczyk

AbstractDiagnostics and mitigation of excessive moisture effects are some of the most frequent problems in historical buildings. In this article, an attempt was made to measure the moisture content of construction elements in the historical tenement house in Gubin. It is the largest town in the Krosno Poviat, in the area of the Lubuskie Voivodeship. The town suffered from military actions during World War II whereby approximately 90% of its urban development was destroyed. The tenement house at 14A, Śląska Street is one of the more well-preserved buildings, made in the classicist style with characteristic historical features. The whole history of the building is unknown but there are freemasonry symbols on the elevation, and probably the Military Police had its headquarters there after 1945.


1991 ◽  
Vol 123 (S157) ◽  
pp. 5-175 ◽  
Author(s):  
Ingolf S. Askevold

AbstractNorth American members of the genus Plateumaris Thomson, 1859, are revised; 17 species are recognized and 23 taxonomic changes are made in their classification. Plateumaris balli and P. schaefferi are described as new species. Names elevated from subspecies to species rank are P. robusta (Schaeffer) and P. frosti (Schaeffer); P. aurifera (LeConte) is revalidated, removed from junior synonymy with P. wallisi (Schaeffer); Donacia idola Hatch is considered a junior subjective synonym of P. dubia (Schaeffer); D. pyritosa LeConte is considered a junior subjective synonym of P. pusilla (Say); an altered species concept is transferred to P. flavipes (Kirby), with D. wallisi Schaeffer as a new junior subjective synonym, and P. flavipes of authors is correctly named P. shoemakeri (Schaeffer); D. longicollis Schaeffer and D. vermiculata Schaeffer are considered new junior subjective synonyms of P. neomexicana (Schaeffer); D. flavipennis Mannerheim is considered a junior subjective synonym of P. germari (Mannerheim); D. rufa Say (not D. rufa of authors) is transferred to Plateumaris from Donacia, with an altered species concept applied to it, and D. affinis Kirby, D. sulcicollis Lacordaire, D. chalcea Lacordaire, D. kirbyi Lacordaire, and D. jucunda LeConte are considered new junior subjective synonyms of P. rufa (Say). The taxon previously considered D. nitida Germar (sensu Schaeffer) is redescribed as P. schaefferi; P. nitida (Germar) is a valid, different species, with D. emarginata Kirby, D. juncina Couper, and D. pacifica Schaeffer considered new junior subjective synonyms of P. nitida. Neotypes are designated for Donacia pusilla Say, Donacia rufa Say, Donacia metallica Ahrens and Donacia nana Melsheimer; lectotypes are designated for all other names, where necessary.Among Palaearctic taxa, Plateumaris morimotoi Kimoto and P. hirashimai Kimoto are considered new junior subjective synonyms of P. weisei Duvivier, and P. sachalinensis Medvedev, P. orientalis Shavrov and Donacia mongolica Semenov are considered probable junior subjective synonyms of P. weisei; P. sulcifrons Weise and P. affinis (Kunze) and its synonyms are considered new junior subjective synonyms of P. rustica (Kunze); P. caucasica Zaitsev is considered a probable junior subjective synonym of P. roscida Weise; P. discolor (Panzer) (and its synonyms) and P. lacordairii (Perris) are considered junior subjective synonyms of P. sericea (L.); new P. obsoleta Jacobson and P. socia Chen are considered probable junior subjective synonyms of P. sericea.Based on phylogenetic analysis, five species groups are recognized, the P. braccata group (two species), P. rufa group (five species), P. pusilla group (eight species), P. shoemakeri group (four species), and P. nitida group (seven species). The current subgeneric classification of Plateumaris is rejected. Characters hitherto used for subgenera of Plateumaris are shown to be either plesiomorphic or widely distributed among unrelated taxa; the relatively minor structural differences do not merit use of a subgeneric classification. Juliusina Reitter is a junior objective synonym of Plateumaris Thomson.Based on fossil and chorological data, the geographic history of donaciines in general and of Plateumaris in particular is deduced to be so old as to obscure correlations of more recent phylogenetic divergences with specific geologic events. The geographic history of even the most highly derived donaciine groups extends well into the Cretaceous. Therefore, explanations are speculative beyond the generality that donaciines have a long geologic history.


1937 ◽  
Vol 30 (1) ◽  
pp. 15-35 ◽  
Author(s):  
A. S. Hoey

In the campaign of 1931–32 at Dura-Europos on the Euphrates there was found among the military archives in the temple of Artemis Azzanathcona a papyrus document containing a list of the festivals which were officially celebrated by the Roman garrison in the city. This document, of unique interest and importance, placed by internal evidence in the reign of Severus Alexander between the years A.D. 223 and 225, contains among its entries the two lines quoted above. In them is prescribed for celebration on two different dates a hitherto unknown festival which is of some little importance both for the religious life of the Roman army and for the history of Roman festivals during the Empire. An attempt will be made in this paper to interpret its nature and to touch briefly on both these aspects of its significance.


Author(s):  
Paulina Riess ◽  
Leo Sher

Abstract Psychotropic management of a first psychotic break is challenging for many psychiatrists. The literature shows that the use of cannabis is widespread in psychotic individuals. The literature also points to young males being most at risk for substance abuse. Studies also show that obstructive sleep apnea and the stress of the military lifestyle contribute to the development of psychosis. Here, we present a case study of a young non-combat veteran with a medical history of obstructive sleep apnea who presented to the Emergency Department of a Veteran’s Affairs hospital with symptoms consistent with a first psychotic break. On routine admission laboratory work, his urine toxicology screen was positive for cannabis. Given the widespread use of cannabis in individuals with psychosis, we suggest that it plays an important role in the regulation of psychosis and behavior.


Author(s):  
Adil Markhaba ◽  
◽  
Islam Zhemeney ◽  
Aman K. Rakhmetullin ◽  
Kalamkas B. Bolatova ◽  
...  

The relevance of this topic lies in the analysis of the study of medieval Kazakh history. After gaining independence, the processes of the revival of national identity, reinstatement of primitive spiritual and moral values and human mentality, which were sharply suppressed during the period of the Soviet totalitarian system, became widespread. Therewith, the widely discussed national-historical structure of the population, the knowledge of ethnic roots, the restoration of traditions and customs, which served as a connecting link, as well as the specificity and originality of the approach are of particular importance. Currently, the problem of objective reading, coverage, and popularisation of the ancient and medieval Kazakh history and culture is acute. By rejecting one-sided interpretations of historical events, established clichés require impartial, academic analysis based on evidence drawn from a wide range of sources. The purpose of this study is to identify the problems of the history of Kazakhstan in the 13th-14th centuries, the general laws of world historical development and the features of the historical process, folk traditions by using a scientific and systematic approach. Based on the systematisation and classification of data from the geographical and Arab historical records of the 13th-14th centuries, the analysis of written monuments is performed, their interdependence is established, and the degree of completeness and reliability of the data in the works of the narrative is determined in an integral system. Due to the scientific expeditions and research trips to Mongolia, China, and Germany, Kazakh orientalists analysed and performed the first systematic processing of archival materials and historical evidence of the early history of resettlement based on the ancient Turkic manuscript, ancient Indian, and Chinese sources that formed a picture of the proto and ancient history. For example, the features of stone figures give an idea of the military hierarchy, military operations, the settlement of ethnic groups (ethnogeography), the worldview of the Turks, etc.


2021 ◽  
Vol 8 (2) ◽  
pp. 202039
Author(s):  
Austin M. Garner ◽  
Anthony P. Russell

Research on gecko-based adhesion has become a truly interdisciplinary endeavour, encompassing many disciplines within the natural and physical sciences. Gecko adhesion occurs by the induction of van der Waals intermolecular (and possibly other) forces between substrata and integumentary filaments (setae) terminating in at least one spatulate tip. Gecko setae have increasingly been idealized as structures with uniform dimensions and a particular branching pattern. Approaches to developing synthetic simulacra have largely adopted such an idealized form as a foundational template. Observations of entire setal fields of geckos and anoles have, however, revealed extensive, predictable variation in setal form. Some filaments of these fields do not fulfil the morphological criteria that characterize setae and, problematically, recent authors have applied the term ‘seta’ to structurally simpler and likely non-adhesively competent fibrils. Herein we briefly review the history of the definition of squamate setae and propose a standardized classificatory scheme for epidermal outgrowths based on a combination of whole animal performance and morphology. Our review is by no means comprehensive of the literature regarding the form, function, and development of the adhesive setae of squamates and we do not address significant advances that have been made in many areas (e.g. cell biology of setae) that are largely tangential to their classification and identification. We contend that those who aspire to simulate the form and function of squamate setae will benefit from a fuller appreciation of the diversity of these structures, thereby assisting in the identification of features most relevant to their objectives.


In the three memoirs of this series already published, all the genera of living Pteridophytes have been dealt with, excepting the Leptosporangiate Ferns. In many features the described species and genera of the Leptosporangiatte show such similarity to one another, that the classification of them presents difficulties to the systematist. It will be unnecessary here to sketch the earlier history of the classification of Ferns: it has been summarised in a compendious form by Bommer. Though at the date of this work systematists differed still as to the limitations and the grouping of genera, the classification of Presl was widely accepted; it was, in fact, the representative classification of the middle decades of the century. If we examine that system as adopted and modified by Sir William Hooker in his ‘Species Filicum,’ and embodied in the ‘Synopsis Filicum,’ it will be seen that it rests upon a narrow basis. The sexual generation is never referred to for purposes of diagnosis or comparison; the vegetative organs of the sporophyte are freely used, hut chiefly in the arrangement of the species within the genus; the characters of the sorus which are used are restricted in their scope, being mainly those of its form and position, together with the presence or absence, and the nature, of the indusium. These remarks are not made in disparagement of the earlier systematic work, but only in order to show its limitations, which were a natural consequence of the then state of the science; for in the middle of the century strictly taxonomic, rather than developmental or evolutionary interests prevailed.


Author(s):  
S. Kusukawa

In 1686, just as Newton was preparing for the publication of the Principia , the Historia Piscium was being printed under the auspices of The Royal Society. The Historia Piscium was a work begun by Francis Willughby (1635–1672, F.R.S. 1663), completed by John Ray (1627–1705, F.R.S. 1667) and brought into print with the financial support of The Royal Society. The text and illustrations of the Historia Piscium reflect the 17th-century origins of the enterprise: Ray's quest to recover the knowledge and language lost in the Fall, and The Royal Society's support for establishing a reformed natural history of fish through publication. Ray's biblical belief in the corruption of human language and knowledge led him to reform natural history through ‘characteristic marks’. He sought to define, classify and depict fishes through their external features, which when matched up, would yield the same nature, and thus allow humans to identify and give a name to a fish. The Royal Society helped Ray's task by confirming the validity or uselessness of a given author on the subject, suggesting other authorities and sources for illustrations, organizing the printing, checking the corrections and paying for the cost of the printing. Subscriptions were sought for the illustrations and the inscriptions of subscribers reflect the Society's concern to promote its institutional identity and its supporters. Some Fellows of the Society also helped Ray with identities and classification of fishes, and changes were made in response to suggestions and objections of other Fellows. Without the intellectual and financial support of the Society, especially Pepys, Lister and Robinson, the Historia Piscium would not have been published in the way that it was. Despite the subscription, however, the Historia Piscium was a costly venture, largely due to its lavish illustrations, and the subsequent flop of sales of the book meant that The Royal Society faced serious financial problems. This is perhaps the main reason why it could not meet the cost of publishing Newton's Principia .


2015 ◽  
pp. 151-158
Author(s):  
A. Zaostrovtsev

The review considers the first attempt in the history of Russian economic thought to give a detailed analysis of informal institutions (IF). It recognizes that in general it was successful: the reader gets acquainted with the original classification of institutions (including informal ones) and their genesis. According to the reviewer the best achievement of the author is his interdisciplinary approach to the study of problems and, moreover, his bias on the achievements of social psychology because the model of human behavior in the economic mainstream is rather primitive. The book makes evident that namely this model limits the ability of economists to analyze IF. The reviewer also shares the author’s position that in the analysis of the IF genesis the economists should highlight the uncertainty and reject economic determinism. Further discussion of IF is hardly possible without referring to this book.


Sign in / Sign up

Export Citation Format

Share Document