Simon Smith

ObjectiveCo-morbid insomnia and sleep apnea is a common and debilitating condition that is more difficult to treat compared to insomnia or sleep apnea-alone. Emerging evidence suggests that cognitive behavioral therapy for insomnia is effective in patients with COMISA, however, those with more severe sleep apnea and evidence of greater objective sleep disturbance may be less responsive to CBTi. Polysomnographic sleep study data has been used to predict treatment response to CBTi in patients with insomnia-alone, but not in patients with COMISA. We used randomized controlled trial data to investigate polysomnographic predictors of insomnia improvement following CBTi, versus control in participants with COMISA.MethodsOne hundred and forty five participants with insomnia and sleep apnea [apnea-hypopnea index ≥ 15] were randomized to CBTi or no-treatment control. Mixed models were used to investigate the effect of pre-treatment AHI, sleep duration, and other traditional, and novel [quantitative electroencephalography ] polysomnographic predictors of between-group changes in Insomnia Severity Index scores from pre-treatment to post-treatment.ResultsCompared to control, CBTi was associated with greater ISI improvement among participants with; higher AHI, less wake after sleep onset, and less N3 sleep. No quantitative electroencephalographic, or other traditional polysomnographic variables predicted between-group ISI change.DiscussionAmong participants with COMISA, higher OSA severity predicted a greater treatment-response to CBTi, versus control. People with COMISA should be treated with CBTi, which is effective even in the presence of severe OSA and objective sleep disturbance.

This article describes the covert seeding by political parties of forums and blogs hosted by one of the leading Slovak daily newspapers, and the techniques developed by journalists, administrators, bloggers and discussants to defend these ‘public spheres’ against perceived colonisation by professional political communicators acting under false identities. We follow a trajectory of accusatory forms and registers—a collective inquiry which gathered and evaluated evidence to support public accusations. The episode demonstrates the vulnerability of the sociotechnical systems used by the media to host e-participation as well as their capacities for self-regulation. It shows how citizens, journalists and party political communicators are engaged in complex boundary struggles for the appropriation and regulation of these new spaces of sociability in order to qualify the forms of knowledge that emerge there, agree conventions for the expression of disquiet and negotiate practically enforcable definitions distinguishing political marketing from free public debate.

This paper offers an analysis of Kant’s account of the mathematical sublime with reference to his claim that ‘Nature is thus sublime in those of its appearances the intuition of which brings with them the idea of its infinity’. In undertaking this analysis I challenge Paul Crowther’s interpretation of this species of aesthetic experience, and I reject his interpretation as not being reflective of Kant’s actual position. I go on to show that the experience of the mathematical sublime is necessarily connected with the progression of the imagination in its move towards the infinite. View HTML Send article to KindleTo send this article to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle. Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service.Kant’s Mathematical Sublime and the Role of the Infinite: Reply to CrowtherVolume 20, Issue 1Simon D. Smith DOI: https://doi.org/10.1017/S1369415414000302Your Kindle email address Please provide your Kindle [email protected]@kindle.com Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Send article to Dropbox To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Dropbox. Kant’s Mathematical Sublime and the Role of the Infinite: Reply to CrowtherVolume 20, Issue 1Simon D. Smith DOI: https://doi.org/10.1017/S1369415414000302Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Send article to Google Drive To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Google Drive. Kant’s Mathematical Sublime and the Role of the Infinite: Reply to CrowtherVolume 20, Issue 1Simon D. Smith DOI: https://doi.org/10.1017/S1369415414000302Available formats PDF Please select a format to send. By using this service, you agree that you will only keep articles for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services. Please confirm that you accept the terms of use. Cancel Send ×Export citation.