Background Sleep disorder in haemodialysis patients can lead to disturbance in their psychosocial function and interpersonal relations, and reduced quality of life. The aim of the present study was to investigate the effect of acupressure on the quality of sleep of haemodialysis patients. Methods In a randomised controlled trial, 108 haemodialysis patients were randomly divided into three groups: true acupressure, placebo acupressure, and no treatment. The two acupressure groups received treatment three times a week for 4 weeks during dialysis. Routine care only was provided for the no treatment group. The main study outcome was sleep quality. Results The total Pittsburgh Sleep Quality Index score decreased significantly from 11.9±3.13 to 6.2±1.93 in the true acupressure group, from 11.3±3.69 to 10.6±3.82 in the sham acupressure group, and from 10.9±4.10 to 10.7±3.94 in the no treatment group. There was a significant difference between groups (p<0.001). Conclusions Acupressure seems to have a positive effect on the sleep quality in haemodialysis patients. Clinical Trial Registration IRCT201106145864N2.

Neuroimaging and genetics studies have advanced our understanding of the neurobiology of sleep and its disorders. However, individual studies usually have limitations to identifying consistent and reproducible effects, including modest sample sizes, heterogeneous clinical characteristics and varied methodologies. These issues call for a large-scale multi-centre effort in sleep research, in order to increase the number of samples, and harmonize the methods of data collection, preprocessing and analysis using pre-registered well-established protocols. The Enhancing NeuroImaging Genetics through Meta-Analysis (ENIGMA) consortium provides a powerful col-How to cite this article: Tahmasian M, Aleman A, Andreassen OA, et al. ENIGMA-Sleep: Challenges, opportunities, and the road map.

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Background:Force variability is related to many kinesiological and neuromuscular properties of the body. This study was conducted to evaluate the effect of type 2 diabetes mellitus (T2DM) and sex on the several fractal and entropy indices of force changing during the repetitive isokinetic exercise of knee flexion-extension.Methods:Fifty individuals were allowed to participate in the study, and they consist of 18 patients with short-term T2DM, 12 patients with long-term T2DM, and 20 gender/body mass index/ankle imposed to brachial pressure index and physical activity index-matched healthy control (HC) individuals. Torque of knee flexion-extension was recorded for each cycle of 40 isokinetic repetitions at a velocity of 150°/s. The slope across the peak of torques and nonlinear fractal and entropy features in the time series was calculated. Two-way univariate analysis of variance was used to analyze the effect of the groups and gender on the variables.Results:The slope of flexor peak torques was significantly less in the long-term T2DM than the other groups. However, the fractal features such as SD1 and 2 of Poincare plot and fractal dimension katz were significantly decreased in the T2DM groups than the HC and in the women than men. Alpha detrended fluctuation analysis and empirical hurts exponent increased in women of short-term T2DM than men.Conclusion:The force variability decreased in the T2DM as compared to HC and in women as compared to men. However, the randomness of force was significantly increased in women of short-term T2DM.

Background: Ghrelin is a pleiotropic hormone that regulates feeding and energy balance and stimulates growth hormone release. Ghrelin also exerts developmental and organizational effects during prenatal life. Objectives: The aim of this study was to determine ghrelin levels in cord blood of small for gestational age (SGA) infants and its association with GH (growth hormone) and IGF-1 levels (insulin-like growth factor-1). Methods: Cord blood sample was obtained from 31 SGA and 25 appropriate for gestational age (AGA) infants. Acylated ghrelin, GH, and IGF-1 levels were measured by enzyme-linked immunosorbent assay. Results: No significant differences were observed in ghrelin and GH concentrations between SGA and AGA infants. However, IGF-1 levels were significantly lower in SGA infants. Cord blood ghrelin was negatively correlated with the infants' birth weight (r = -0.33, P = 0.013); on the other hand, IGF-1 level was positively correlated with birth weight (r = 0.43, P = 0.002). Conclusions: IGF-1 has the most significant effect on intrauterine growth. Acylated ghrelin is detectable in cord blood and correlated with birth weight, suggesting a role in intrauterine development, but its level is not affected by intrauterine growth retardation.

During the past two decades, e-commerce has revolutionized many industries by providing easy access infrastructures for interested users who wish to place their orders via internet facilities. Insurance industry is one of the most important financial industries in the world. E-commerce has been attracting many in insurance industry and insurance industry has utilized e-commerce because of its own significance in economic growth and health of society. However, enhancing e-commerce into insurance firms may face serious barriers and it is important to detect and setup appropriate actions to remove them. In this paper, we present a multi-criteria decision making (MCDM) technique based on DEMATEL with an adaptation of fuzzy logic to find important factors influencing implementation of e-commerce into insurance industry. The proposed study of this paper designs a questionnaire and distributes it among five important insurance experts. Findings indicate that "behavioral-cultural barriers" influence on structural and field barriers. "Problems resulted from obeying government complicated rules" in the group of structural barriers, "low capacity of accepting e-insurance" in field barriers group and "lack of sufficient support of insurance chief managers from e-insurance and relative tendency of insurance staffs to make the insurance affairs electronic" in behavioral-cultural barriers group have the most influence on other factors of group.