The migraine postdrome: Clinical characterization, influence of abortive treatment and impact in the quality of life.

OBJECTIVE: To determine the postdrome's prevalence and characterize its clinical manifestations, to assess the impact of these symptoms on the patients' activities of daily living, work activity and quality of life and to assess the factors that influence the postdrome's frequency and duration. METHODS: One hundred patients with migraine were screened about the occurrence of postdrome and its characteristics using a self-fulfilled questionnaire. RESULTS: Ninety-four patients reported between 1 and 23 postdrome symptoms (mean 8.0 ± 4.3 symptoms). The most reported symptoms were fatigue, difficulty with concentration and head discomfort. The frequency of the headache did not influence the frequency of the postdrome but correlated with the number of postdrome symptoms and the postdrome's duration. 82.8 % of patients reported an impact in quality of life. Most of the patients (77.4 %) did not report a difference in the duration of the postdrome when taking medication to relieve the migraine headache. Discomfort felt did not differ between patients prescribed with different abortive medication. Patients prescribed with NSAID reported more postdrome symptoms while patients prescribed with triptans identified a bigger impact in quality of life. CONCLUSION: Postdrome symptoms are frequent, diverse and cause significant disability. Abortive treatment directed to pain control is not efficient in postdrome symptoms. Understanding this phase may enhance our understanding of migraine and lead to better therapeutic approaches.

Seven temperate terrestrial planets around the nearby ultracool dwarf star TRAPPIST-1.

One aim of modern astronomy is to detect temperate, Earth-like exoplanets that are well suited for atmospheric characterization. Recently, three Earth-sized planets were detected that transit (that is, pass in front of) a star with a mass just eight per cent that of the Sun, located 12 parsecs away. The transiting configuration of these planets, combined with the Jupiter-like size of their host star-named TRAPPIST-1-makes possible in-depth studies of their atmospheric properties with present-day and future astronomical facilities. Here we report the results of a photometric monitoring campaign of that star from the ground and space. Our observations reveal that at least seven planets with sizes and masses similar to those of Earth revolve around TRAPPIST-1. The six inner planets form a near-resonant chain, such that their orbital periods (1.51, 2.42, 4.04, 6.06, 9.1 and 12.35 days) are near-ratios of small integers. This architecture suggests that the planets formed farther from the star and migrated inwards. Moreover, the seven planets have equilibrium temperatures low enough to make possible the presence of liquid water on their surfaces.