Migraine shares a complex and poorly understood relationship with sleep. Patients consistently report poor sleep prior to migraine attacks and during them, identifying poor sleep as a migraine ...trigger. However, anecdotally, sleep is reported to serve a therapeutic role in terminating headache. Are the associations between migraine and sleep simply the result of various bidirectional relationships? A growing body of evidence suggests there may be a common underlying etiology as well. Our objective was to review studies of sleep and migraine from the last 2 decades utilizing validated subjective and objective measures of sleep and to explore potential mechanisms underlying this complex relationship by incorporating recent advances in neuroscience. We specifically focus on insomnia, obstructive sleep apnea, parasomnias, sleep related movement disorders, and REM sleep related disorders and their relationship to migraine. Parts of brainstem‐cortical networks involved in sleep physiology are unintentionally being identified as important factors in the common migraine pathway. Recent discoveries on anatomic localization (the hypothalamus as a key and early mediator in the pathophysiology of migraine), common mediating signaling molecules (such as serotonin and dopamine), and the discovery of a new CNS waste removal system, the glymphatic system, all point to a common pathophysiology manifesting in migraine and sleep problems.
In the last decade, changes driven by globalization, constant shifts in consumer preferences, and frequent alterations in business strategy have become prominent. This research focuses on changes in ...the presentation and interpretation of information related to key company performances. Traditional financial reports, although informative, are no longer sufficient to meet the needs of target audiences. Increased demands regarding corporate responsibility and sustainable business practices have prompted companies to provide qualitative information about their business operations, as well as about intangible aspects of the company, which have become crucial for stakeholders. This has given rise to the need for an integrated report that would include a wide spectrum of interest groups. This paper explores the importance of implementing integrated reporting in company presentations. While the adoption of such reports is still in its infancy, there is a growing awareness of their significance.
The need to influence public opinion as well as the need to achieve a certain type of communication with the public is as old as human society. Marketing and advertising rulers of ancient Greece and ...Rome who tried in various ways to gain the support of their citizens are the forerunners of today's public relations experts. Public Relations (PR) could be defined as the management of communications and relations in order to build the company's reputation and mutual understanding between the company and its public. The basic function of public relations is to maintain two-way communication with the environment. It is considered that two-way communication with users is the best method for their motivation, because "conversation" with them contributes to users continuing to express their opinions, since it creates the impression that someone hears what they are saying. A crisis for a certain company is a circumstance in which it is no longer possible to act normally. It endanger the company's ability to function, makes it harder to achieve goals, and affects the very survival of the organization. Even a minor crisis, which at first glance seems to have no dramatic proportions, its negative impact on the organization's image can become so great that it threatens its long-term survival. Unexpectedly poor publicity is associated with the crisis and therefore public relations (PR) is a managerial function, which takes care of establishing and maintaining communication between the organization and the public. The success or failure of the company depends on the management, the management manages the identity and image,and the reputation of the organization, which is also its most valuable asset. In crisis situations, it is important to attract and interest neutral audiences and various target groups, internal and external public, for the activities of the organization, and this can be achieved with a correct relationship with the media. This paper will try to explain the correlation between management and crises that occur in organizations, and how best to deal with them.
Health workers, doctors and nurses and other health staff, due to their occupation and daily exposure to stressful situations, are the most exposed to professional burnout and the dangers of numerous ...mental disorders. The aim of this review was to point out, based on data from recent literature, the importance and level of mental health of doctors and nurses during the COVID-19 pandemic. Mental health is influenced by various factors, from social changes and circumstances to personal experiences in society. Extended working hours, night work, shift work, responsibility when making decisions, contact with the sick, contact and care for patients in the terminal phase of the disease, care for their families, and also the professional burnout of health workers have increased the morbidity of numerous psychological disorders and psychosomatic diseases in health workers, especially during viral epidemics and pandemics. The World Health Organization advocates the thesis that the feeling of pressure in the current situation associated with the COVID-19 pandemic is normal, and that taking care of mental health is just as important as taking care of physical health.
Abstract
Migraine is three times more common in women than in men and is the 4th leading cause of disability in women. Onset of migraine increases at menarche, with peaks in prevalence in the late ...30s, and a rapid decline after menopause. While the prevalence is highest among women of childbearing age the frequency of headache and burden of migraine frequently worsens during midlife. Abundant population data suggest that hormonal factors may trigger headache attacks and influence onset and remission. The midlife worsening of migraine is attributed to hormonal fluctuations characteristic of the menopausal transition. Drops in estrogen presumably lead to increased migraine attacks at the time of menses as well as during the menopausal transition. During the menopausal transition, recommended approaches include both acute and preventive non-hormonal and hormonal options as well as behavioral approaches. Herein, is a brief review on the presentation of migraine in women across the lifespan, with special emphasis on midlife and the menopausal transition and implications for treatment.
Optimal design of elastic plates Crnjac, Ivana; Pavlović, Jelena Jankov; Kunštek, Petar
ESAIM: Mathematical Modelling and Numerical Analysis,
06/2024, Letnik:
58, Številka:
3
Journal Article
Recenzirano
This paper is concerned with optimal design problems in the setting of the Kirchhoff–Love model for pure bending of a thin solid symmetric plate under a transverse load. For two isotropic elastic ...materials with a prescribed amount, the goal is to find their rearrangement within the domain that forms a least compliant structure. The homogenization method is used as a relaxation tool to overcome the lack of a classical solution of optimal design problem. Neccessary conditions of optimality were derived and an optimality criteria method for the single state compliance minimization problems is developed and tested on several examples.
More than 10% of American adults experience some level of daily pain, and nearly 40 million (17.6%) experience episodes of severe pain annually. Women are particularly impacted by both episodic and ...chronic pain with higher prevalence and a greater level of pain-related disability compared to men. Midlife is a critical period for women during which the frequency of pain complaints begins to increase. Although pain is known to be influenced and controlled by sex hormones, it has not been widely recognized as a symptom of the menopausal transition outside of the menopause research community. The recent thematic series in this journal has specifically highlighted pain related conditions including rheumatoid arthritis, migraine and abdominal pain for which the significance among midlife women is not typically recognized. The studies presented in this thematic series present a small fraction of relevant, understudied questions regarding pain and its impact on women in midlife. Addressing the gaps in knowledge will require longitudinal studies that consider the emergence of pain symptomatology in relation to midlife trajectories of other symptoms and health determinants, as well as further study of new and emerging therapies.
Emotional intelligence and health care are closely linked. Empathy is regarded as one of key dimensions of emotional intelligence. The nursing profession has numerous general, but also generic, ...competencies which requires not only technical knowledge, but also psychological support in everyday work. The aim of this review paper is to point out the importance of assessing the emotional intelligence of nurses on the basis of recent data from the literature. There are many challenges and various sufferings that many health workers are exposed to, especially nurses, which clearly indicates the necessary fact, ie. requires a high degree of emotional skills and competence, because the more complex the job, the more important emotional intelligence. High self-awareness, self-control, the ability to cope with feelings are just some of the competencies that nurses/ technicians should possess. All these characteristics are important factors of emotional intelligence and a basic prerequisite for providing empathy. There are numerous tests and instruments used to assess emotional intelligence.
The aim of the study was to determine the ability of ferritin, haemoglobin, albumin and total cholesterol to identify nutritional risk and malnutrition among elderly primary care patients.
The ...cross-sectional study included 446 elderly adults over 65 years of age from four areas of Bosnia and Herzegovina. In addition to anthropometric, functional, cognitive and biochemical indicators, nutritional status was evaluated using 24-hour recall of meals, the Mini Nutritional Assessment (MNA), and Seniors in the Community: Risk Evaluation for Eating and Nutrition, Version II (SCREEN II).
Malnourished/at-risk study respondents had lower mean levels of haemoglobin (P=0.001) and total cholesterol (P<0.001), compared to those with normal nutritional status. Albumin levels significantly differed regarding nutritional status (P=0.004), but not nutritional risk level (P=0.521). Significant differences in serum ferritin levels were not found between malnourished and normally nourished study respondents (P=0.779) Determinants of albumin level were eating more than three meals a day (P<0.001), fewer than two portions of fruit and vegetables a day (P=0.024), drinking one glass of wine (P<0.001) and reporting functional independence (P=0.011). The AUC curves for serum ferritin, albumin and total cholesterol levels in men and women, as well as for haemoglobin levels in women, were poor to fair (AUC<0.800).
Although ferritin, haemoglobin, albumin and total cholesterol may be useful biomarkers of nutritional status, their accuracy in diagnosing malnutrition and nutritional risk among elderly primary health care patients is limited.
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