The criteria for chronic migraine (CM), as proposed by the Second Edition of the International Classification of Headache Disorders (ICHD-2) is very restrictive, excluding most patients that evolve from episodic migra...The criteria for chronic migraine (CM), as proposed by the Second Edition of the International Classification of Headache Disorders (ICHD-2) is very restrictive, excluding most patients that evolve from episodic migraine. In this study we empirically tested three recent proposals for revised criteria for CM. We included individuals with transformed migraine (TM) with or without medication overuse, according to the criteria proposed by Silberstein and Lipton. All individuals had headache calendars for at least three consecutive months. We assessed the proportion of subjects that fulfilled ICHD-2 criteria for CM or probable chronic migraine with probable medication overuse (CM+). We also tested three proposals for making the CM criteria more inclusive. In proposal 1, CM/CM +would require at least 15 days of migraine or probable migraine per month. Proposal 2 suggests that CM/CM +would be classified in those with ≥15 days of headache per month, where at least 50%of these days are migraine or probable migraine. Proposal 3 suggests that CM/CM +would be classified in those with chronic daily headache and at least 8 days of migraine or probable migraine per month. Among TM sufferers, 399 (62.5%) had TM with medication overuse, and just 10.2%were classified as CM+158 (37.5%) had TM without medication overuse; just nine (5.6%) met current ICHD-2 criteria for CM. Using the alternative criteria, proposal 1 included 48.7%of patients with TM without medication overuse; proposal 2 captured 88%, and proposal 3 classified 94.9%of these patients. For TM with medication overuse, the proportions for proposals 1-3 were, respectively, 37%, 81%and 91%. The differences were statistically significant, favouring proposal 3. Consistently, criteria for CM and CM+should be revised to require at least 8 days of migraine or probable migraine per month, in individuals with 15 or more days of headache per month.展开更多
The SMOS(soil moisture and ocean salinity) mission undertaken by the European Space Agency(ESA) has provided sea surface salinity(SSS) measurements at global scale since 2009.Validation of SSS values retrieved from SM...The SMOS(soil moisture and ocean salinity) mission undertaken by the European Space Agency(ESA) has provided sea surface salinity(SSS) measurements at global scale since 2009.Validation of SSS values retrieved from SMOS data has been done globally and regionally.However,the accuracy of SSS measurements by SMOS in the China seas has not been examined in detail.In this study,we compared retrieved SSS values from SMOS data with in situ measurements from a South China Sea(SCS) expedition during autumn 2011.The comparison shows that the retrieved SSS values using ascending pass data have much better agreement with in situ measurements than the result derived from descending pass data.Accuracy in terms of bias and root mean square error(RMS) of the SSS retrieved using three different sea surface roughness models is very consistent,regardless of ascending or descending orbits.When ascending and descending measurements are combined for comparison,the retrieved SSS using a semi-empirical model shows the best agreement with in situ measurements,with bias-0.33 practical salinity units and RMS 0.74.We also investigated the impact of environmental conditions of sea surface wind and sea surface temperature on accuracy of the retrieved SSS.The SCS is a semi-closed basin where radio frequencies transmitted from the mainland strongly interfere with SMOS measurements.Therefore,accuracy of retrieved SSS shows a relationship with distance between the validation sites and land.展开更多
文摘The criteria for chronic migraine (CM), as proposed by the Second Edition of the International Classification of Headache Disorders (ICHD-2) is very restrictive, excluding most patients that evolve from episodic migraine. In this study we empirically tested three recent proposals for revised criteria for CM. We included individuals with transformed migraine (TM) with or without medication overuse, according to the criteria proposed by Silberstein and Lipton. All individuals had headache calendars for at least three consecutive months. We assessed the proportion of subjects that fulfilled ICHD-2 criteria for CM or probable chronic migraine with probable medication overuse (CM+). We also tested three proposals for making the CM criteria more inclusive. In proposal 1, CM/CM +would require at least 15 days of migraine or probable migraine per month. Proposal 2 suggests that CM/CM +would be classified in those with ≥15 days of headache per month, where at least 50%of these days are migraine or probable migraine. Proposal 3 suggests that CM/CM +would be classified in those with chronic daily headache and at least 8 days of migraine or probable migraine per month. Among TM sufferers, 399 (62.5%) had TM with medication overuse, and just 10.2%were classified as CM+158 (37.5%) had TM without medication overuse; just nine (5.6%) met current ICHD-2 criteria for CM. Using the alternative criteria, proposal 1 included 48.7%of patients with TM without medication overuse; proposal 2 captured 88%, and proposal 3 classified 94.9%of these patients. For TM with medication overuse, the proportions for proposals 1-3 were, respectively, 37%, 81%and 91%. The differences were statistically significant, favouring proposal 3. Consistently, criteria for CM and CM+should be revised to require at least 8 days of migraine or probable migraine per month, in individuals with 15 or more days of headache per month.
基金Supported by the National Natural Science Foundation of China(Nos.41006110,41106155)
文摘The SMOS(soil moisture and ocean salinity) mission undertaken by the European Space Agency(ESA) has provided sea surface salinity(SSS) measurements at global scale since 2009.Validation of SSS values retrieved from SMOS data has been done globally and regionally.However,the accuracy of SSS measurements by SMOS in the China seas has not been examined in detail.In this study,we compared retrieved SSS values from SMOS data with in situ measurements from a South China Sea(SCS) expedition during autumn 2011.The comparison shows that the retrieved SSS values using ascending pass data have much better agreement with in situ measurements than the result derived from descending pass data.Accuracy in terms of bias and root mean square error(RMS) of the SSS retrieved using three different sea surface roughness models is very consistent,regardless of ascending or descending orbits.When ascending and descending measurements are combined for comparison,the retrieved SSS using a semi-empirical model shows the best agreement with in situ measurements,with bias-0.33 practical salinity units and RMS 0.74.We also investigated the impact of environmental conditions of sea surface wind and sea surface temperature on accuracy of the retrieved SSS.The SCS is a semi-closed basin where radio frequencies transmitted from the mainland strongly interfere with SMOS measurements.Therefore,accuracy of retrieved SSS shows a relationship with distance between the validation sites and land.