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Sleep Duration Patterns in Early to Middle Adulthood and Subsequent Risk of Type 2 Diabetes in Women

OBJECTIVE

To identify sleep duration trajectories from early to middle adulthood and their associations with incident type 2 diabetes.

RESEARCH DESIGN AND METHODS

Using a group-based modeling approach, we identified sleep duration trajectories based on sleep duration in ages 20–25, 26–35, 36–45, and 46+ years, which were retrospectively assessed in 2009 among 60,068 women from the Nurses’ Health Study II (median age 54.9 years) who were free of diabetes, cardiovascular disease, and cancer. We investigated the prospective associations between sleep duration trajectories and diabetes risk (2009–2017) using multivariable Cox proportional hazards models.

RESULTS

We documented 1,797 incident diabetes cases over a median follow-up of 7.8 years (442,437 person-years). Six sleep duration trajectories were identified: persistent 5-, 6-, 7-, or 8-h sleep duration and increased or decreased sleep duration. After multivariable adjustment for diabetes risk factors, compared with the persistent 7-h sleep duration group, the hazard ratio was 1.43 (95% CI 1.10, 1.84) for the 5-h group, 1.17 (1.04, 1.33) for the 6-h group, 0.96 (0.84, 1.10) for the 8-h group, 1.33 (1.09, 1.61) for the increased sleep duration group, and 1.32 (1.10, 1.59) for the decreased sleep duration group. Additional adjustment for time-updated comorbidities and BMI attenuated these associations, although a significantly higher risk remained in the decreased sleep duration group (1.24 [1.03, 1.50]).

CONCLUSIONS

Persistent short sleep duration or changes in sleep duration from early to middle adulthood were associated with higher risk of type 2 diabetes in later life. These associations were weaker after obesity and metabolic comorbidities were accounted for.




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How Terrorist Organizations Work Like Clubs

Days before the Sept. 11, 2001, attacks, Osama bin Laden left his compound in Kandahar in Afghanistan and headed into the mountains. His driver, Salim Ahmed Hamdan, traveled with him. As U.S. and Northern Alliance forces stood poised to capture Kandahar a few months later, bin Laden told Hamdan t...




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Why Fluff-Over-Substance Makes Perfect Evolutionary Sense

Consider these scenarios. Scandal A: A prominent politician gets caught sleeping with a campaign aide and plunges himself into an ugly paternity dispute -- all while his cancer-stricken wife is fighting for her life.




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Risk Factors for First and Subsequent CVD Events in Type 1 Diabetes: The DCCT/EDIC Study

OBJECTIVE

The Diabetes Control and Complications Trial (DCCT) and its observational follow-up Epidemiology of Diabetes Interventions and Complications (EDIC) demonstrated the dominant role of glycemia, second only to age, as a risk factor for a first cardiovascular event in type 1 diabetes (T1D). We now investigate the association between established risk factors and the total cardiovascular disease (CVD) burden, including subsequent (i.e., recurrent) events.

RESEARCH DESIGN AND METHODS

CVD events in the 1,441 DCCT/EDIC participants were analyzed separately by type (CVD death, acute myocardial infarction [MI], stroke, silent MI, angina, percutaneous transluminal coronary angioplasty/coronary artery bypass graft [PTCA/CABG], and congestive heart failure [CHF]) or as composite outcomes (CVD or major adverse cardiovascular events [MACE]). Proportional rate models and conditional models assessed associations between risk factors and CVD outcomes.

RESULTS

Over a median follow-up of 29 years, 239 participants had 421 CVD events, and 120 individuals had 149 MACE. Age was the strongest risk factor for acute MI, silent MI, stroke, and PTCA/CABG, while glycemia was the strongest risk factor for CVD death, CHF, and angina, second strongest for acute MI and PTCA/CABG, third strongest for stroke, and not associated with silent MI. HbA1c was the strongest modifiable risk factor for a first CVD event (CVD: HR 1.38 [95% CI 1.21, 1.56] per 1% higher HbA1c; MACE: HR 1.54 [1.30, 1.82]) and also for subsequent CVD events (CVD: incidence ratio [IR] 1.28 [95% CI 1.09, 1.51]; MACE: IR 1.89 [1.36, 2.61]).

CONCLUSIONS

Intensive glycemic management is recommended to lower the risk of initial CVD events in T1D. After a first event, optimal glycemic control may reduce the risk of recurrent CVD events and should be maintained.




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Declutter Your Inbox. Subscribe to Email Newsletters Straight Into Inoreader

You have mail! Inoreader now allows you to subscribe to Email Newsletters just as regular RSS feeds. By creating a…




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Keep Your YouTube Subscriptions in Sync With Inoreader

Did you know you can subscribe to YouTube channels and playlist in Inoreader? Simply paste the URL of the channel…




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Sick Teachers Paying for Substitutes: Where and Why It’s Happening

A California teacher battling breast cancer made headlines recently when she was told state law required her to pay for the cost of a sub during her treatment. Where else are these kinds of sick leave policies in place? And why aren’t the unions doing more to fight them?




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North Dakota Bill Targets Common Core in Both Substance and Name

North Dakota lawmakers fended off an effort to ensure that the state's new standards, and any tests that might be used with them, won't mirror the common core.




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All the boats on the ocean : how government subsidies led to global overfishing / Carmel Finley.

Fishery management -- United States -- History -- 20th century.




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Dictionnaire d'hygiène publique et de salubrité : ou, Répertoire de toutes les questions relatives à la santé publique, considérées dans leurs rapports avec les subsistances, les epidémies, les professions, les

Paris : J.-B. Bailliere ; Londres : H. Bailliere, 1852-1854.




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Du siège des substances actives dans les plantes médicinales / par Joannes Chatin.

Paris : J.-B. Baillière, 1876.




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The Edinburgh new dispensatory : Containing I. The elements of pharmaceutical chemistry. II. The materia medica; or, The natural, pharmaceutical and medical history, of the substances employed in medicine. III. The pharmaceutical preparations and composit

Edinburgh : Bell & Bradfute, 1813.




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The educational and subsidiary provisions of the Birmingham Royal School of Medicine and Surgery set forth in a letter to the Rev. Dr. Samuel Wilson Warneford ... : the whole being intended to shew the importance and practicability of applying the means a

Oxford : printed by W. Baxter, 1843.




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The elements of mind : being an examination into the nature of the first division of the elementary substances of life / by H. Jamyn Brooks.

London : Longmans, Green, 1902.




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Essai sur les dyspepsies : digestion artificielle des substances féculentes / par C.L. Coutaret.

Paris : Masson, 1870.




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Leopoldine Esterházy von Galántha, subsequently Prinzessin von Liechtenstein. Engraving by A. Bertini after G. Tognoli after A. Canova.

[Rome?]




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A woman holding a baby; possibly Victoria Duchess of Kent and Strathearn at the christening of Princess Alexandrina Victoria (subsequently Queen Victoria). Wood engraving by P. Naumann, 18--.




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Illinois High Court Backs Pension for One-Day Teacher Substitute

A union lobbyist who worked just one day as a substitute teacher is entitled to a pension worth potentially tens of thousands of dollars annually, the Illinois supreme court has ruled.




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Live Sustainably Zine - creative books and zines, life zine, art zine, substainable life book.




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The role of mass media in preventing adolescent substance abuse / Brian R. Flay and Judith L. Sobel.

Rockville, Maryland : National Institute on Drug Abuse, [1983]




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Learning factors in substance abuse / editor, Barbara A. Ray.

Rockville, Maryland : National Institute on Drug Abuse, 1988.




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National drug/alcohol collaborative project : issues in multiple substance abuse / edited by Stephen E. Gardner.

Rockville, Maryland : National Institute on Drug Abuse, 1980.




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Methadone substitution therapy : policies and practices / edited by Hamid Ghodse, Carmel Clancy, Adenekan Oyefeso.

London : European Collaborating Centres in Addiction Studies, 1998.




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Generalized bounds for active subspaces

Mario Teixeira Parente, Jonas Wallin, Barbara Wohlmuth.

Source: Electronic Journal of Statistics, Volume 14, Number 1, 917--943.

Abstract:
In this article, we consider scenarios in which traditional estimates for the active subspace method based on probabilistic Poincaré inequalities are not valid due to unbounded Poincaré constants. Consequently, we propose a framework that allows to derive generalized estimates in the sense that it enables to control the trade-off between the size of the Poincaré constant and a weaker order of the final error bound. In particular, we investigate independently exponentially distributed random variables in dimension two or larger and give explicit expressions for corresponding Poincaré constants showing their dependence on the dimension of the problem. Finally, we suggest possibilities for future work that aim for extending the class of distributions applicable to the active subspace method as we regard this as an opportunity to enlarge its usability.




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The Maximum Separation Subspace in Sufficient Dimension Reduction with Categorical Response

Sufficient dimension reduction (SDR) is a very useful concept for exploratory analysis and data visualization in regression, especially when the number of covariates is large. Many SDR methods have been proposed for regression with a continuous response, where the central subspace (CS) is the target of estimation. Various conditions, such as the linearity condition and the constant covariance condition, are imposed so that these methods can estimate at least a portion of the CS. In this paper we study SDR for regression and discriminant analysis with categorical response. Motivated by the exploratory analysis and data visualization aspects of SDR, we propose a new geometric framework to reformulate the SDR problem in terms of manifold optimization and introduce a new concept called Maximum Separation Subspace (MASES). The MASES naturally preserves the “sufficiency” in SDR without imposing additional conditions on the predictor distribution, and directly inspires a semi-parametric estimator. Numerical studies show MASES exhibits superior performance as compared with competing SDR methods in specific settings.




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lmSubsets: Exact Variable-Subset Selection in Linear Regression for R

An R package for computing the all-subsets regression problem is presented. The proposed algorithms are based on computational strategies recently developed. A novel algorithm for the best-subset regression problem selects subset models based on a predetermined criterion. The package user can choose from exact and from approximation algorithms. The core of the package is written in C++ and provides an efficient implementation of all the underlying numerical computations. A case study and benchmark results illustrate the usage and the computational efficiency of the package.




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Botulinum toxins, fillers and related substances

9783319168029 (electronic bk.)




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The two-to-infinity norm and singular subspace geometry with applications to high-dimensional statistics

Joshua Cape, Minh Tang, Carey E. Priebe.

Source: The Annals of Statistics, Volume 47, Number 5, 2405--2439.

Abstract:
The singular value matrix decomposition plays a ubiquitous role throughout statistics and related fields. Myriad applications including clustering, classification, and dimensionality reduction involve studying and exploiting the geometric structure of singular values and singular vectors. This paper provides a novel collection of technical and theoretical tools for studying the geometry of singular subspaces using the two-to-infinity norm. Motivated by preliminary deterministic Procrustes analysis, we consider a general matrix perturbation setting in which we derive a new Procrustean matrix decomposition. Together with flexible machinery developed for the two-to-infinity norm, this allows us to conduct a refined analysis of the induced perturbation geometry with respect to the underlying singular vectors even in the presence of singular value multiplicity. Our analysis yields singular vector entrywise perturbation bounds for a range of popular matrix noise models, each of which has a meaningful associated statistical inference task. In addition, we demonstrate how the two-to-infinity norm is the preferred norm in certain statistical settings. Specific applications discussed in this paper include covariance estimation, singular subspace recovery, and multiple graph inference. Both our Procrustean matrix decomposition and the technical machinery developed for the two-to-infinity norm may be of independent interest.




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SHOPPER: A probabilistic model of consumer choice with substitutes and complements

Francisco J. R. Ruiz, Susan Athey, David M. Blei.

Source: The Annals of Applied Statistics, Volume 14, Number 1, 1--27.

Abstract:
We develop SHOPPER, a sequential probabilistic model of shopping data. SHOPPER uses interpretable components to model the forces that drive how a customer chooses products; in particular, we designed SHOPPER to capture how items interact with other items. We develop an efficient posterior inference algorithm to estimate these forces from large-scale data, and we analyze a large dataset from a major chain grocery store. We are interested in answering counterfactual queries about changes in prices. We found that SHOPPER provides accurate predictions even under price interventions, and that it helps identify complementary and substitutable pairs of products.




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Subspace perspective on canonical correlation analysis: Dimension reduction and minimax rates

Zhuang Ma, Xiaodong Li.

Source: Bernoulli, Volume 26, Number 1, 432--470.

Abstract:
Canonical correlation analysis (CCA) is a fundamental statistical tool for exploring the correlation structure between two sets of random variables. In this paper, motivated by the recent success of applying CCA to learn low dimensional representations of high dimensional objects, we propose two losses based on the principal angles between the model spaces spanned by the sample canonical variates and their population correspondents, respectively. We further characterize the non-asymptotic error bounds for the estimation risks under the proposed error metrics, which reveal how the performance of sample CCA depends adaptively on key quantities including the dimensions, the sample size, the condition number of the covariance matrices and particularly the population canonical correlation coefficients. The optimality of our uniform upper bounds is also justified by lower-bound analysis based on stringent and localized parameter spaces. To the best of our knowledge, for the first time our paper separates $p_{1}$ and $p_{2}$ for the first order term in the upper bounds without assuming the residual correlations are zeros. More significantly, our paper derives $(1-lambda_{k}^{2})(1-lambda_{k+1}^{2})/(lambda_{k}-lambda_{k+1})^{2}$ for the first time in the non-asymptotic CCA estimation convergence rates, which is essential to understand the behavior of CCA when the leading canonical correlation coefficients are close to $1$.




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Cortical Hubs Revealed by Intrinsic Functional Connectivity: Mapping, Assessment of Stability, and Relation to Alzheimer's Disease

Randy L. Buckner
Feb 11, 2009; 29:1860-1873
Neurobiology of Disease




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More Evidence That Pluto Might Have a Subsurface Ocean

The impact that created Pluto’s 'heart' may have rippled through its ocean and damaged its rear




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8M substandard masks from Montreal supplier did not make it into health-care system, Trudeau says




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Home automation company Wink under fire for surprise subscription mandate



Wink customers will soon have to pay a monthly subscription fee to access any of the smart home hardware that they have purchased.




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How to Subscribe to Podcasts on iOS, Mac, and iTunes

Apple's Podcasts app is available on mobile and the desktop, but in macOS Catalina, a new standalone Podcasts app replaces iTunes. Here's how to subscribe, listen, and adjust settings on iOS, iPadOS, iTunes, and Mac.




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Slovenia's Roma clubs

We find out about the importance of equal opportunities for Roma players in Slovenian football.




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Clubs existing on borrowed money are on borrowed time

IT’S becoming a real bore that our main sporting authorities, particularly the Scottish Football Association, the Scottish Professional Football League and the Scottish Rugby Union, continue to get in a fankle over the way to end the 2019-20 season.




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Fewer than five patients a day being seen at Scotland's Covid assessment hubs

AROUND five people a day are being seen at Covid hubs across Scotland as demand for the service declines.




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Alison McConnell: Clubs' rift with SPFL will linger long after lockdown

Rangers make Glasgow? Well, they certainly make it interesting.




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Graeme Macpherson: Limited expectations and dreaming big key for fans of smaller clubs

THE most important lesson in life is to always travel in hope rather than expectation. That way the almost inevitable disappointment that follows isn’t quite as crushing. A cheery thought for these troubled times.




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Golf clubs need members 'more than ever' in coronavirus crisis

It wasn’t that long ago that health experts were championing golf as a soothing, morale-boosting haven away from the ravaging rigours of the coronavirus.




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Golf and coronavirus: Why Covid-19 may be the final straw for outdated clubs

To say that amateur golf in Scotland has been slow to adapt to change is putting it kindly. But where the rise of the nomads, the Equality Act, the credit crunch and repeated faltering reform efforts have failed, perhaps Covid-19 will finally be the shock that thrusts the sector into a meaningful if seriously belated overhaul.




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Disney+ Reaches 28.6 Million Subscribers Since Nov. Launch

Disney's CEO said most of the subscribers to Disney+ came from the US. But going forward, the company expects new subscribers to come from foreign markets as the streaming service expands to more European countries and India this March.




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Does Fellowship Pay: What Is the Long-term Financial Impact of Subspecialty Training in Pediatrics?

No studies have focused on the financial impact of fellowship training in pediatrics.

The results from this study can be helpful to current pediatric residents as they contemplate their career options. In addition, the study may be valuable to policy makers who evaluate health care reform and pediatric workforce-allocation issues. (Read the full article)




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Family-centered Program Deters Substance Use, Conduct Problems, and Depressive Symptoms in Black Adolescents

Conduct problems, substance use, substance use problems, and depressive symptoms increase as black adolescents enter high school. Although family-centered prevention programs deter these problems during middle school, no such programs have been developed and evaluated for black high school students.

This study demonstrates that participation in a family-centered preventive intervention reduces conduct problems, substance use, and substance use problems among black adolescents by more than 30% compared with adolescents in an attention control condition across nearly 2 years. (Read the full article)




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Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

Primary care settings provide an important venue for early detection of substance use and intervention, but adolescent screening rates need improvement. Screening and brief interventions appear effective in reducing adult problem drinking but evidence for effectiveness among adolescents is needed.

A computer-facilitated system for screening, feedback, and provider brief advice for primary care can increase adolescent receipt of substance use screening across a variety of practice settings, and shows promise for reducing adolescents’ use of alcohol and cannabis. (Read the full article)




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Identifying and Treating a Substandard Housing Cluster Using a Medical-Legal Partnership

Social and environmental risks related to substandard housing contribute to adverse health outcomes. Partnerships between the health care and legal systems can help families address such risks and help clinicians understand the legal context of health.

A medical-legal partnership colocated in a pediatric primary care setting identified and treated a large cluster of poor quality, substandard housing. Housing improvements were possible because of strong collaboration between clinicians, attorneys, community partners, and families. (Read the full article)




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Racial and Ethnic Differences in Subspecialty Service Use by Children With Autism

Racial and ethnic differences exist in age at diagnosis and early access to mental and behavioral health services among children with autism spectrum disorders (ASDs). ASDs are also associated with increased rates of other medical comorbidities that may require specialty care.

Significant racial and ethnic differences in use of specialty care and specialty procedures exist among children with documented ASD. (Read the full article)




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Effect of Palivizumab Prophylaxis on Subsequent Recurrent Wheezing in Preterm Infants

Palivizumab prophylaxis prevents respiratory syncytial virus lower respiratory tract infection. An association between respiratory syncytial virus infection and subsequent recurrent wheezing has been suggested by many studies. Only a few studies conducted from Europe and North America have addressed this causal association.

In a prospective, multicenter, case-control study of 440 children with high follow-up rate of 98.4%, palivizumab prophylaxis administered to preterm Japanese infants (33–35 weeks’ gestational age) in their first respiratory season reduced the incidence of subsequent recurrent wheezing up to 3 years. (Read the full article)




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Risk Perceptions and Subsequent Sexual Behaviors After HPV Vaccination in Adolescents

Concerns have been raised that human papillomavirus (HPV) vaccination could lead to riskier behaviors in vaccinated adolescents, but it is unknown whether changes in risk perceptions after vaccination lead to riskier sexual behaviors.

Risk perceptions following HPV vaccination were not associated with subsequent riskier sexual behaviors in sexually experienced and inexperienced young women. These data contribute to the growing evidence that HPV vaccination does not lead to changes in sexual behaviors among adolescents. (Read the full article)