scholarly journals Development of an online sleep diary for physician and patient use

This paper describes the development of an electronic sleep diary and outlines its advantages over the traditional paper based approach still used by many sleep centres throughout the world. A sleep diary is a record of sleep details filled in by a patient normally over a period of two weeks. This information is then used by a physician as a diagnostic tool for identify sleep disorders in the patient. The development method used was convergent interviews with sleep specialists in order to establish initial requirements. This was followed by a rapid prototyping approach in order to produce the final specification. This paper concludes that an online sleep diary is a low cost, viable alternative offering benefits to both patients and physicians. The benefits to patients include the ability to perform functional analysis of their own sleep habits (referred to as sleep hygiene) and to determine factors affecting their sleep patterns. This knowledge leads to greater patient understanding of their circumstances and can lead to a potential increase in patient, physician collaboration. The physician gains access to timely accessible patient information as well as to an evidence database that will allow for greater analysis of sleep disorders throughout the general public over time.

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A8-A8
Author(s):  
J Chawla ◽  
S Burgess ◽  
H Heussler

Abstract Introduction There is limited evidence about how sleep changes in children with Down syndrome (DS) following sleep interventions. This study evaluated changes in sleep over time in children receiving treatment comparing to a control group who did not. Methods Children with DS, 3-16yrs, attending the sleep clinic were followed for 24-months. Sleep parameters including parent completed child sleep habits questionnaire (CSHQ), PSG and home sleep diary were obtained pre and post sleep interventions for children undergoing treatment. Data was obtained at similar intervals for the control group who were followed over the same time period. Results Data was obtained for 41 participants, 16 children received an intervention and 25 did not. Interventions included ENT surgery (7), CPAP (4), melatonin (3) or a combination (2). The intervention group had a significantly higher average total CSHQ score overall than those in the control group (0.01). Scores decreased over time but remained higher than in controls throughout, and were clinically significant in both groups (>41). Sleep diary estimated average total sleep duration did not differ between groups and was 10hrs/night. PSG showed improvement in OAHI in those children undergoing pre and post intervention studies. Discussion Evaluation of sleep parameters in this referred cohort of children with Down syndrome demonstrates total sleep duration in keeping with national recommendations and improvement in obstruction with treatment. However, CSHQ results indicate ongoing sleep difficulties reported by parents, despite standard sleep interventions. This may reflect persisting non-respiratory sleep disorders, which are not being adequately addressed at present.


2015 ◽  
Vol 18 (2) ◽  
pp. 109-120 ◽  
Author(s):  
Thanh Duy Nguyen

Information technology has been considered as a modern development method not only in Vietnam, but also in the world. There have been many studies on factors affecting the success of information system projects in a plenty of countries, but not in Vietnam. In addition, these studies failed to show the relationship between the factors. This study proposes a structural model for the success of information system projects (SISP) in Vietnam. The research results indicate the factors affecting SISP are habit, social influence, easy to use, project qualities (information, system, and service), project objective, information system use intention, information system usage, user satisfaction; and characteristics of information system.


1989 ◽  
Vol 7 (4) ◽  
pp. 209-223
Author(s):  
M.S. Modelevsky ◽  
G.S. Gurevich ◽  
E.M. Kharutukov

Oil will remain a basic component of the world energy balance for no less than 30–40 years ahead. Estimates of the world oil resources vary substantially. The authors present their own estimate of recoverable resources of liquid hydrocarbons (crude oil and condensate) distributed by major regions of the non-Socialist world and differentiated by technical costs of oil production. Most important factors affecting oil production costs are characterized. Until 2020, cumulative world oil demand could be met by development of oil resources with production costs which do not exceed $45/t level (in 1987 US$). However, whilst the bulk of undiscovered resources of cheap, low-cost oil is concentrated in the developing countries, the oil potential of the developed market economies is almost exclusively represented by hard-to-access, high-cost resources.


2001 ◽  
pp. 13-17
Author(s):  
Serhii Viktorovych Svystunov

In the 21st century, the world became a sign of globalization: global conflicts, global disasters, global economy, global Internet, etc. The Polish researcher Casimir Zhigulsky defines globalization as a kind of process, that is, the target set of characteristic changes that develop over time and occur in the modern world. These changes in general are reduced to mutual rapprochement, reduction of distances, the rapid appearance of a large number of different connections, contacts, exchanges, and to increase the dependence of society in almost all spheres of his life from what is happening in other, often very remote regions of the world.


2010 ◽  
Vol 1 (1) ◽  
pp. 1-19
Author(s):  
Ahmed Akgunduz

AbstractIslamic Law is one of the broadest and most comprehensive systems of legislation in the world. It was applied, through various schools of thought, from one end of the Muslim world to the other. It also had a great impact on other nations and cultures. We will focus in this article on values and norms in Islamic law. The value system of Islam is immutable and does not tolerate change over time for the simple fact that human nature does not change. The basic values and needs (which can be called maṣlaḥa) are classified hierarchically into three levels: (1) necessities (Ḍarūriyyāt), (2) convenience (Ḥājiyyāt), and (3) refinements (Kamāliyyāt=Taḥsīniyyāt). In Islamic legal theory (Uṣūl al‐fiqh) the general aim of legislation is to realize values through protecting and guaranteeing their necessities (al-Ḍarūriyyāt) as well as stressing their importance (al‐ Ḥājiyyāt) and their refinements (taḥsīniyyāt).In the second part of this article we will draw attention to Islamic norms. Islam has paid great attention to norms that protect basic values. We cannot explain all the Islamic norms that relate to basic values, but we will classify them categorically. We will focus on four kinds of norms: 1) norms (rules) concerned with belief (I’tiqādiyyāt), 2) norms (rules) concerned with law (ʿAmaliyyāt); 3) general legal norms (Qawā‘id al‐ Kulliyya al‐Fiqhiyya); 4) norms (rules) concerned with ethics (Wijdāniyyāt = Aḵlāqiyyāt = Ādāb = social and moral norms).


2017 ◽  
Vol 68 (7) ◽  
pp. 1438-1441 ◽  
Author(s):  
Sorin Berbece ◽  
Dan Iliescu ◽  
Valeriu Ardeleanu ◽  
Alexandru Nicolau ◽  
Radu Cristian Jecan

Obesity represents a global health problem. According to the latest studies released by the World Health Organisation (WHO), 1.7 billion currently in excess of normal weight individuals, of which approx. 75% are overweight (body mass index - BMI 25 to 30). The common form of excess adipose tissue manifestation in overweight individuals is localized fat deposits with high (abdominal) or low (buttocks and thighs) disposition. Although the overweight can be corrected relatively easy by changing behavioral habits or food, a constant physical exercises program or following a diet food are not accessible to all through the efforts of will, financial and time involved. Several methods have been studied and tested over time to eliminate more or less invasive fat deposits with varying efficacy and adverse effects. Chemical lipolysis using phosphatidylcholine as the basic substance was initially used in hypercholesterolemia and its complications and was rapidly adopted in mesotherapy techniques for the treatment of fat deposits. This study reveals the results obtained using Dermastabilon on a sample of 16 patients, the time allocated to treatment and discomfort being minimal, and rapid and notable results. There were no side effects.


1992 ◽  
Vol 25 (4-5) ◽  
pp. 67-73
Author(s):  
H. Fleckseder ◽  
L. Prendl ◽  
H. Meulenbroek

The primary driving force for re-investments in wastewater treatment plants in Austria - and also other countries in Central Europe - is at present not an increase in load to treatment but a marked increase in effluent requirements to be fulfilled. (The re-investments necessary for sludge handling and treatment remain outside this paper.) Within a period of 20 years, the load specific requirements on aeration tank volume rose five- to tenfold, when Lv = 2.0 kg BOD5/(m3d) was the starting value, and roughly doubled for final clarifiers. In addition, the importance of the application and expansion of primary sedimentation decreased as well. This development over time in Central European countries as well as the need to utilize previous investments as long as possible - 35 to 60 years for civil works are common as periods of depreciation - indicate that investments in new plant at any location in the world have to consider the possible whole life cycle of a plant and that plant hydraulics becomes the “key hook” for expandability.


2015 ◽  
Vol 1 (2) ◽  
Author(s):  
Usha Arora ◽  
Deepti Dabas Hazarika

Economies all over the world are moving towards a focus on services. Tourism has emerged as a major contributor to economies all over the world. This is why specific focus is being placed on tourism, as Destination Management Organizations (DMOs) concentrate their efforts on tourism. India has been one of the countries where the share of tourism in national income has steadily been increasing. As the national capital, the city of Delhi has a major role to play in the tourist inflow to the country, as well as within the country. Successful tourism marketing requires that the concepts of tourist destination and underlying factors are comprehended in detail. An analysis of the available, pertinent literature on the area shows the manner in which numerous factors come together to form the image of a tourist destination. In fact, it needs to be understood that image formation may be done differently for different consumers. This further necessitates a detailed study of the factors influencing tourist destination image.


Think ◽  
2021 ◽  
Vol 20 (58) ◽  
pp. 23-38
Author(s):  
Emily Thomas

ABSTRACTWhat is time? Just like everything else in the world, our understanding of time has changed continually over time. This article tracks this question through the history of Western philosophy and looks at major answers from the likes of Aristotle, Kant, and McTaggart.


2020 ◽  
Vol 6 (1) ◽  
pp. 329-347
Author(s):  
Roman Vávra

AbstractThe following study summarizes the available ethnographical, historical, and archaeological data about the use of fish skin as a material. Fish skin and the methods of its processing are described. The fish skin utilisation accounts from around the world are collected in an organized matter. Afterwards the various factors affecting the use of this material are discussed and some concluding remarks about the further research possibilities are proposed. The use of fish skin does not appear to be based purely on climate, subsistence strategies, or the availability of fish, but also on cultural norms and traditions. Careful hypotheses can be made by using relational analogies, but ultimately a re-examination of museum collections or new archaeological discoveries are fundamental in furthering this field of research.


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