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Background: Although the importance of sleep problems has been increasingly emphasized due to the effects on children's development and children's and families' daytime behaviors, physical health, and quality of life, they have been overlooked in clinical practice. However, there have been few studies on the effects of rehabilitation on sleep problems. Therefore, in this study, we investigated the effects of an intensive rehabilitation program on sleep problems in children with developmental delays (DD). Methods: We included 36 children with DD (30 outpatients, 6 inpatients) and their caregivers who completed all items on the Sleep Disturbance Scale for Children. Of the children with DD, 19 (59.3%) had cerebral palsy (CP) and 13 (40.7%) had DD of non-CP origins, of which 6 (18.8%) had prematurity, 4 (12.5%) had genetic causes, and 3 (9.4%) had an unknown origin. Changes in sleep problems after the intensive rehabilitation program were evaluated using a paired or unpaired t-test, depending on the distribution of the continuous variables. Results: After the intensive rehabilitation program, in 36 children with DD, there was a significant improvement in the difficulty in initiating and maintaining sleep (DIMS) sub-score (p < 0.05). However, there was no significant improvement in the total score or other sub-scores, such as those for sleep breathing disorders (SBD), disorders of arousal (DA), sleep–wake transition disorders (SWTD), disorders of excessive somnolence (DOES), and sleep hyperhidrosis (SH). In the subgroup analysis according to the cause of DD, children with CP had a significant improvement in DIMS and DOES sub-scores (p < 0.05). Conclusion: The intensive rehabilitation program, consisting of more than two sessions per day, effectively alleviated sleep problems in children with DD, especially in those with CP. Among the sleep problems, the intensive rehabilitative program was most effective at improving the DIMS. However, further prospective studies with a larger number of patients with DD and a more standardized protocol are necessary to generalize this effect. [ABSTRACT FROM AUTHOR]

Spinal and bulbar muscular atrophy, namely Kennedy disease, is a rare progressive neurodegenerative disorder caused by the expansion of a CAG repeat in the first exon of the androgen receptor gene on the X chromosome. We assessed the clinical history, laboratory findings, functional scales and electrophysiological data, as well as the levels of luteinizing hormone, follicle-stimulating hormone and testosterone, in 157 Korean patients with genetically confirmed spinal and bulbar muscular atrophy (mean age at data collection = 56.9 years; range = 33–83 years). Hand tremor was the first symptom noticed by patients at a median age of 35 years, followed by gynaecomastia, orofacial fasciculation, cramps and fatigability in ascending order. Clinical symptoms such as paraesthesia and dysphagia appeared during the later stages of the disease. Cane use during ambulation began at a median age of 62 years. There were statistically significant differences between patients and controls in the results of sensory nerve studies, motor conduction velocity, and distal latencies. Furthermore, among the hormone markers analysed, the level of luteinizing hormone exhibited a negative correlation with the spinal and bulbar muscular atrophy functional rating scale, Korean version. However, among the patients with a disease duration of ≤5 years, the levels of luteinizing hormone showed a significant correlation with assessments using the amyotrophic lateral sclerosis functional rating scale-revised, spinal and bulbar muscular atrophy functional rating scale, Korean version and the 6-minute walk test. In conclusion, our findings provide clinical information from a substantial number of patients with spinal and bulbar muscular atrophy in Korea that accorded with that of patients with this disease worldwide but with updated clinical features. [ABSTRACT FROM AUTHOR]

Owing to the complexity of the multivalence states of vanadium oxides in slag systems and experimental difficulties, thermodynamic properties of vanadium oxides have not been established yet. In the present study, the mixed‐valence states and activities of the vanadium oxides in CaO–SiO2–VOx slag were investigated experimentally at 1873 K and oxygen partial pressures of 3.2 × 10–9 and 3.1 × 10–7 atm. After the CaO–SiO2–VOx slag had equilibrated with a platinum strip, the mixed‐valence states of the vanadium oxides in the slag were estimated by performing X‐ray photoelectron spectroscopy, and the activities of the vanadium oxides in the slag were calculated using the activity of vanadium in the platinum strip at equilibrium using thermodynamic equations. At an oxygen partial pressure of 3.2 × 10–9 atm, V3+ was the dominant ion and V4+ was the second most abundant ion. With increasing VOx content or basicity (CaO/SiO2 ratio), the fraction of V3+ decreased, whereas that of V4+ increased. The activity of VO1.5 was greater than those of the other vanadium oxides. On the other hand, when the oxygen partial pressure increased to 3.1 × 10–7 atm, V4+ became the dominant ion. As the slag basicity increased, the fraction of V4+ increased further, whereas that of V3+ decreased to less than that of V5+. The activity of VO1.5 was greater than those of the other vanadium oxides, limiting the effect of the slag basicity. Consequently, the valence state of vanadium oxide was affected by the slag basicity at a low oxygen partial pressure by acting as a network modifier. In contrast, at a higher oxygen partial pressure, the activity of vanadium oxide increased further but was not affected by the slag basicity because of its contribution to the network structure formation. The present findings can be applied to optimize the slag composition in steel refining or vanadium pentoxide production processes to increase the yield rate of vanadium. [ABSTRACT FROM AUTHOR]