Sleep Science最新文献_第9页

Positive Pressure Ventilation Treatment Based on Daytime and Night-time Titration in Patients with Obesity Hypoventilation Syndrome: A Randomized Controlled Trial 基于昼夜滴定的正压通气治疗肥胖低通气综合征患者:一项随机对照试验

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1773790

Babak Amra, Marzieh Ghasemi, Forogh Soltaninejad, Mehrzad Salmasi

{"title":"Positive Pressure Ventilation Treatment Based on Daytime and Night-time Titration in Patients with Obesity Hypoventilation Syndrome: A Randomized Controlled Trial","authors":"Babak Amra, Marzieh Ghasemi, Forogh Soltaninejad, Mehrzad Salmasi","doi":"10.1055/s-0043-1773790","DOIUrl":"https://doi.org/10.1055/s-0043-1773790","url":null,"abstract":"Abstract Objectives The aim of the present study was to investigate the improvements of gas exchange and excessive daytime sleepiness in patients with obesity hypoventilation syndrome (OHS) in daytime and night-time split polysomnography (DSPSG and NSPSG). Materials and Methods In the present randomized controlled trial, patients with OHS were enrolled in two DSPSG (51 patients) and NSPSG (50 patients) groups in the Bamdad respiratory and sleep research center in Isfahan, Iran. In both groups, the diagnostic polysomnography (PSG) and titration were conducted in one session according to the guidelines of NSPSG. SpO2, PaCO2, and the Epworth Sleepiness Scale (ESS), were measured initially and 12 weeks after treatment. Furthermore, the PSG parameters and the type of treatments for the two groups were recorded and analyzed. Results A total of 101 OHS patients (age: 62.02 ± 12.4 year old; 61 females [60.4%]) were evaluated. There were no significant differences regarding BMI, gender, and AHI between groups (p > 0.05). Primary SpO2, PaCO2, and ESS were not significantly different between the two groups. After 12 weeks of treatment by continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BiPAP), there were significant improvement of SpO2, PaCO2, and ESS score (p < 0.001). The amount of change of these variables was not different between groups. Among all variables, only the lower SpO2 and higher PaCO2 were associated with response to BiPAP. Discussion There were no significant differences in the number of changes of SpO2, PaCO2, and ESS by treatment in the DSPSG and NSPSG groups. Therefore, DSPSG may be considered as a valuable alternative method for the diagnosis and titration in OHS patients. Clinical Trials IRCT20170512033930N2","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Shift Work on the Immune System: A Narrative Review 轮班工作对免疫系统的影响:一个叙述性的回顾

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772810

Marianne Stenbekk Thorkildsen, Lise Tuset Gustad, Jan Kristian Damås

引用次数: 0

The Cervical Fat Tissue Volume is a Predictor for Moderate to Severe OSA 宫颈脂肪组织体积是中度至重度OSA的预测指标

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772827

Glenda Ernst, Pablo Dalzotto, Melina Saban, Fernando M. Ferraro, Alejandro Salvado, Eduardo Enrique Borsini

{"title":"The Cervical Fat Tissue Volume is a Predictor for Moderate to Severe OSA","authors":"Glenda Ernst, Pablo Dalzotto, Melina Saban, Fernando M. Ferraro, Alejandro Salvado, Eduardo Enrique Borsini","doi":"10.1055/s-0043-1772827","DOIUrl":"https://doi.org/10.1055/s-0043-1772827","url":null,"abstract":"Abstract Objective Obstructive sleep apnea (OSA) is a disorder characterized by recurrent pharyngeal obstruction during sleep, in which upper airway anatomy plays a key role in its pathogenesis. The aim of this study was to describe whether the quantification of cervical fat tissue volume (CFTV) obtained by Computed Tomography (CT)cephalometry is related to the severity of OSA. Methods Retrospective study between 2018 and 2020 in those patients > 18 years old, with diagnosis of OSA who performed a volumetric cephalometric imaging. Three-dimensional reconstruction of the images was performed and CFTV was measured. Results 91 patients were included in this study of which: without OSA (n: 7), mild (n: 19), moderate (n: 39) and severe OSA (n: 26). We observed a progressive increase of CFTV related to OSA severity has been observed (without OSA: 58.9 ml (47.9-87.5), mild: 59.1ml (48.4-78.3), moderate: 71 ml (42.6-127.1) and severe OSA 103.6 ml (81-153); p < 0.01); nevertheless, no differences were found in the airway volume and neck area. It was showed a significant correlation between CFTV and OSA indicators: AHI, ODI and T90 (Sp r: 0.48; 0.38 and 0.36; p < 0.01 respectively). CFTV cut-off value to discriminate AHI >15 ev/h with best sensitivity-specificity relationship was 64.1 ml with an area under the curve of 0.6 ± 0.06. Multivariate analysis showed that CFTV is a predictor for moderate to severe OSA (OR:3.05, IC95%: 1.14-8.17). Conclusion Cervical fat quantification by CT cephalometry correlates with OSA severity in adults. Fat volume > 64.1 ml increased more than three times the risk of OSA moderate to severe.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"377 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Importance of Sleep for Successful Neurorehabilitation after Stroke 睡眠对中风后神经康复的重要性

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772805

Cristina Frange, Brian James Murray, Fernando Morgadinho Santos Coelho

引用次数: 0

Sleep Medicine Knowledge Among Graduating Medical Students in Lebanon During an Economic and Political Crisis: A Preliminary Survey 经济和政治危机中黎巴嫩医科毕业生睡眠医学知识的初步调查

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772828

Raissa Aoun, Victor Zibara, Christy Costanian, Hrayr P. Attarian, Sola Aoun Bahous

{"title":"Sleep Medicine Knowledge Among Graduating Medical Students in Lebanon During an Economic and Political Crisis: A Preliminary Survey","authors":"Raissa Aoun, Victor Zibara, Christy Costanian, Hrayr P. Attarian, Sola Aoun Bahous","doi":"10.1055/s-0043-1772828","DOIUrl":"https://doi.org/10.1055/s-0043-1772828","url":null,"abstract":"Abstract Objectives Sleep disorders are prevalent and underrecognized during both economic and political crises. They are a major reason for poor overall health and decreased quality of life. Sleep medicine education is limited at most medical schools, resulting in limited awareness of this important aspect of healthcare. The aim of the study is to assess sleep medicine knowledge of graduating medical students in Lebanon and to assess their readiness to tackle sleep health issues in a country during an unprecedented crisis. Methods Final-year medical students at 7 medical schools in Lebanon were invited to fill a survey between January 2020 and March 2021. The Assessment of Sleep Knowledge in Medical Education survey was used to assess their knowledge in sleep medicine. The curriculum organizers at the medical schools were also surveyed. Student's t-test was used for analysis. Results 158 and 58 students completed the survey during 2020 and 2021, with a mean overall score on sleep knowledge of was 17.5 and 15.9 /30, respectively. There was no difference in mean knowledge scores by gender, age, American versus European medical school systems, and between medical schools that included sleep medicine in their curriculum versus those that did not. Conclusions Presence of sleep medicine education in the curriculum was associated with higher scores on ASKME among graduating Lebanese medical students. Given the low response rate, however, this descriptive pilot data could be used as a launching pad for a larger study, with a more representative sample, for generalizable results.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Sleep Quality, Excessive Daytime Sleepiness, and Physical Activity Level in Health Professionals with and Without COVID-19: a Cross-Sectional Study 有和没有COVID-19的卫生专业人员的睡眠质量、白天过度嗜睡和身体活动水平:一项横断面研究

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772807

Ana Carolynne Santos Neves, Sulyvan Italo Daher Chaves, Pedro Paulo Simões Siqueira, Karla Michelle Lima Alves, Luciana Moraes Studart-Pereira, Anna Myrna Jaguaribe-de-Lima

{"title":"Sleep Quality, Excessive Daytime Sleepiness, and Physical Activity Level in Health Professionals with and Without COVID-19: a Cross-Sectional Study","authors":"Ana Carolynne Santos Neves, Sulyvan Italo Daher Chaves, Pedro Paulo Simões Siqueira, Karla Michelle Lima Alves, Luciana Moraes Studart-Pereira, Anna Myrna Jaguaribe-de-Lima","doi":"10.1055/s-0043-1772807","DOIUrl":"https://doi.org/10.1055/s-0043-1772807","url":null,"abstract":"Abstract Objective To compare the sleep quality, excessive daytime sleepiness, and physical activity level in health professionals infected and not infected with COVID-19. Methods Cross-sectional study based on online forms (Google Forms) filled out by health professionals who cared for COVID- 19 patients in hospitals in the Recife metropolitan area, Brazil, between October 2020 and May 2021. Anthropometric, sociodemographic, and occupational data were collected, along with the assessment of excessive daytime sleepiness (with Epworth Sleepiness Scale [ESE]), sleep quality (with Pittsburgh Sleep Quality Index [PSQI]), and physical activity level (with International Physical Activity Questionnaire [IPAQ] – short version). Results A total of 96 participants were assessed (37 with COVID-19, 59 without COVID-19). There were no differences between the groups regarding physical activity levels classified as sedentary, moderately active, or highly active (p = 0.850), or the weekly energy expenditure (p = 0.522). Infected professionals had a greater workload than non-infected ones, besides poorer sleep quality (10.46 ± 3.75 vs. 7.88 ± 3.75; p = 0.001) and excessive daytime sleepiness (10.19 ± 3.05 vs. 8.44 ± 3.85; p = 0.016). Conclusion Based on the results, this study shows that professionals infected with COVID-19 have poorer sleep quality, associated with excessive daytime sleepiness, in contrast with non-infected professionals.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nocturnal Polysomnography without Technical Supervision in the Diagnosis of Respiratory Sleep Disorders, Diagnostic Performance of Home and Sleep Laboratory Studies 无技术监督的夜间多导睡眠图诊断呼吸性睡眠障碍，家庭和睡眠实验室研究的诊断表现

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772809

María Florencia Angellotti, Sofía Grandval, Ileana Palma, Vanina Giovini, Verónica Jaritos, Gastón Diaz-Lapasini, Denise Carnevale, Juan Facundo Nogueira

{"title":"Nocturnal Polysomnography without Technical Supervision in the Diagnosis of Respiratory Sleep Disorders, Diagnostic Performance of Home and Sleep Laboratory Studies","authors":"María Florencia Angellotti, Sofía Grandval, Ileana Palma, Vanina Giovini, Verónica Jaritos, Gastón Diaz-Lapasini, Denise Carnevale, Juan Facundo Nogueira","doi":"10.1055/s-0043-1772809","DOIUrl":"https://doi.org/10.1055/s-0043-1772809","url":null,"abstract":"Abstract Introduction Unattended Polysomnography (type 2 PSG) is a procedure for the diagnosis of sleep-disordered breathing (SDB). Published evidence on its performance and efficacy is limited. Available studies reveal a high rate of lost records that could limit its application. Objective To assess the efficacy of type 2 PSG and the rate of studies that must be repeated due to critical loss of signals. Methods prospective, descriptive study. Adult patients with suspected SDB were included. Unattended PSG was performed using portable equipment. 75 patients were connected at home and another 75 in the laboratory, without subsequent monitoring. Records were evaluated to determine the percentage of the night with adequate quality for each of the signals, considered as an evaluable signal for = 70% of the total recording time (TRT). The need to repeat the studies was also estimated. Results: 150 patients were recruited; 44% women; age 57.3 ± 15.4 years; BMI 29.4 ± 6.5. EEG and EOG signals were adequate in 149 records. Flow signal by pressure cannula was adequate in 146 and by thermistor in 67.8%. In only one study the signal of both effort bands were inadequate. Oximetry was lost in 4 cases. Ten tracings (6%) met the criteria for repetition; 8 hospital and 2 home. Conclusions Acceptable records were obtained in most unattended PSG studies, both at home and in the sleep laboratory. The rate of repetition of studies due to loss of signal was 6%, with failure in SaO2 or in flow signals being the main cause of the indication.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstructive Sleep Apnea Treatment with Oral Appliance in a Myotonic Dystrophy Type I Subject: A Case Report 口腔矫治器治疗I型肌强直性营养不良患者阻塞性睡眠呼吸暂停1例

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772817

Maria de Lourdes Rabelo Guimarães, Milena Carvalho Tourino Ribeiro, Thiago Antunes da Silva Barbosa, Laila Gabriela de Figueiredo Costa, Patricia Souza Bastos

引用次数: 0

Childhood and Adolescents Sleep Bruxism Treatment: A Systematic Review 儿童和青少年睡眠磨牙症的治疗:系统回顾

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1772826

Jordana Senff, Danielle Veiga Bonotto, Priscila Brenner Hilgenberg-Sydney, Aline Sebastiani, Rafaela Scariot, Lisa Yurie Oda

{"title":"Childhood and Adolescents Sleep Bruxism Treatment: A Systematic Review","authors":"Jordana Senff, Danielle Veiga Bonotto, Priscila Brenner Hilgenberg-Sydney, Aline Sebastiani, Rafaela Scariot, Lisa Yurie Oda","doi":"10.1055/s-0043-1772826","DOIUrl":"https://doi.org/10.1055/s-0043-1772826","url":null,"abstract":"Abstract Introduction Sleep Bruxism (SB) is a common condition in childhood that can cause multiple consequences such as abnormal tooth wear, tensional headaches, masticatory muscle pain, or fatigue. The literature reports some interventions, however the treatment for SB in children is not well-established. Objectives A systematic review was performed to investigate the effectiveness of the treatments described for SB in children and adolescents: pharmacological and psychological treatments; behavioral guidelines; and dental approaches. Materials and methods Randomized clinical trials comparing different SB treatments with a control group were searched in the electronic databases PubMed, Scopus, Web of Science, Cochrane Library, and VHL until August 04, 2021. Two independent reviewers selected the studies, extracted the data, and assessed the risk of bias. After a two-phase selection process, 07 articles were selected. The methodology of the selected studies was analyzed using the Cochrane Risk of Bias Tool. The criteria used to qualify the studies were based on randomization, allocation, blinding of participants and evaluators, and analysis of results. Results The signs and symptoms of SB were reduced with pharmacotherapy (hydroxyzine/diazepam) and medicinal extracts (M. Officinalis), but with occlusal splints and physiotherapy, this improvement was not statistically significant when compared to control groups. Conclusion Some evidence of the efficacy of pharmacotherapy (hydroxyzine/diazepam) and medicinal extracts (M. Officinalis) was found. However, this systematic review is not enough to establish a protocol for the treatment of SB. Besides, the individualized management of SB in this population should be considered, emphasizing the management of risk factors.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of a Hedonic Stimulus on the Sleep Architecture of Male Wistar Rats 享乐刺激对雄性Wistar大鼠睡眠结构的影响

Sleep Science Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1773788

Carolina Peña-Escudero, Sergio Priego-Fernández, Mario Caba, Juan Carlos Rodríguez-Alba, Aleph Alejandro Corona-Morales, Fabio García-García

{"title":"Effect of a Hedonic Stimulus on the Sleep Architecture of Male Wistar Rats","authors":"Carolina Peña-Escudero, Sergio Priego-Fernández, Mario Caba, Juan Carlos Rodríguez-Alba, Aleph Alejandro Corona-Morales, Fabio García-García","doi":"10.1055/s-0043-1773788","DOIUrl":"https://doi.org/10.1055/s-0043-1773788","url":null,"abstract":"Abstract Objective Nocturnal animals forage and eat during the night and sleep during the day. When food is available only for a short period during the day, animals develop a catabolic state and exhibit locomotor behavior before accessing food, termed food anticipatory activity. Consequently, there is a disruption in the sleep pattern. The present study aimed to explore how anticipatory arousal emerges under circadian exposure to a palatable meal (PM) and disrupts sleep architecture. Materials and Methods Adult male Wistar rats were implanted with electrodes for continuous sleep recording and housed under a light/dark 12/12-hour cycle with free access to food and water. After basal recordings, the rats had access to a PM during the light period for eight days. Results The anticipatory arousal started on the third day. On the eighth day, we found an increase in wake time and a decrease in the non-rapid eye movement sleep (NREMS) and rapid eye movement sleep (REMS) times 45 minutes before the PM compared with the basal recordings. The REMS transitions (events from NREMS to REMS) showed a significant reduction during the light period of the eighth day of PM. In contrast, the number of NREMS transitions (events from wakefulness to NREMS) remained unchanged. Conclusion The results suggest that palatable food induces a motivational timing that leads the rat to wake by altering the sleep quota.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0