Sleep medicine and disorders : international journal最新文献

Is sleep apnea a risk factor for Covid-19? findings from a retrospective cohort study 睡眠呼吸暂停是Covid-19的危险因素吗?一项回顾性队列研究的结果

Sleep medicine and disorders : international journal Pub Date : 2020-10-22 DOI: 10.15406/smdij.2020.04.00075

T. Feuth, T. Saaresranta, A. Karlsson, M. Valtonen, V. Peltola, E. Rintala, J. Oksi

{"title":"Is sleep apnea a risk factor for Covid-19? findings from a retrospective cohort study","authors":"T. Feuth, T. Saaresranta, A. Karlsson, M. Valtonen, V. Peltola, E. Rintala, J. Oksi","doi":"10.15406/smdij.2020.04.00075","DOIUrl":"https://doi.org/10.15406/smdij.2020.04.00075","url":null,"abstract":"Background: In the early phase of the coronavirus disease-19 (Covid-19) pandemic, Southwest Finland remained relatively spared. By the 3 rd of May 2020, a total of 28 patients have been admitted to the Turku University Hospital. We explore baseline characteristics in order to identify risk for severe disease and critical care admission. Methods: For this retrospective cohort study, data were derived from hospital records. Basic descriptive statistics were used to characterise patients, including medians, percentiles and frequencies. Differences were tested with Mann Whitney U-test and Pearson’s chi-square test. Results: Pre-existent obstructive sleep apnea (OSA) was present in 29% of patients admitted in the hospital for Covid-19. Overall, other findings on admission were comparable with those reported elsewhere. C-reactive protein and procalcitonin were higher in patients who were eventually transferred to critical care in comparison to in those who were not (median CRP 187 mg/L versus 52 mg/L, p<0.005 and median PCT 0.46 versus 0.12, p=0.047). Conclusion: OSA was pre-existent in a disproportional large group of patients, which suggests that it is an important risk factor for severe Covid-19. Furthermore, we identified high CRP, PCT and possibly native oxygen saturation as useful clinical measures to identify patients at risk for critical care.","PeriodicalId":92291,"journal":{"name":"Sleep medicine and disorders : international journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80273444","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: 9

High prevalence of insomnia during COVID-19 pandemic 2019冠状病毒病大流行期间失眠高发

Sleep medicine and disorders : international journal Pub Date : 2020-09-30 DOI: 10.15406/smdij.2020.04.00074

Kawish Garg, Harsh Goel, Shefali Gupta

{"title":"High prevalence of insomnia during COVID-19 pandemic","authors":"Kawish Garg, Harsh Goel, Shefali Gupta","doi":"10.15406/smdij.2020.04.00074","DOIUrl":"https://doi.org/10.15406/smdij.2020.04.00074","url":null,"abstract":"Coronavirus disease 2019, also known as COVID-19 first emerged in Wuhan, China in December 2019 and since then, has rapidly spread globally. It was declared as public Health Emergency of international concern (PHEIC) by the World Health Organization on 30th Jan 2020,1 and a pandemic on 11th March 2020.2 As of time of writing this report, there are >20 million confirmed cases of COVID-19, and >750,000 confirmed deaths globally reported by WHO. As per CDC USA data reported on August 18, 2020, there are 5,422,242 cases reported in United States with 169,870 deaths. It has long been known that incidence of mental health problems including depression, anxiety, posttraumatic stress, and sleep disturbances rises during disease pandemics/epidemics.3 Given the uniquely high impact of the current pandemic, it should hardly be surprising if a similar, or indeed worse, pattern be observed during the COVID-19 pandemic. Moreover, these mental health problems likely have long-lasting affect, beyond the duration of the pandemic.4 Beyond the obvious cost in terms of mortality and morbidity due to the infection itself, the unprecedented spread of the pandemic has caused immense socioeconomic strain due to mandatory lockdowns across the developed and the developing world. For example, quarantine by itself is an independent risk factor for worsening emotional disturbance, depression, stress, low mood, irritability and anger, poor sleep, and posttraumatic stress symptoms.5 Various stressors during or post quarantine include fear of infection, frustration, and boredom, in adequate supplies, inadequate information, stigma and worry about finances.5","PeriodicalId":92291,"journal":{"name":"Sleep medicine and disorders : international journal","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89096346","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

Sleep assessment in individuals with cancer 癌症患者的睡眠评估

Sleep medicine and disorders : international journal Pub Date : 2020-09-15 DOI: 10.15406/smdij.2020.04.00072

Newton Santos de Faria Júnior, L. Pasqualotto, Walquíria da Mata Santos

{"title":"Sleep assessment in individuals with cancer","authors":"Newton Santos de Faria Júnior, L. Pasqualotto, Walquíria da Mata Santos","doi":"10.15406/smdij.2020.04.00072","DOIUrl":"https://doi.org/10.15406/smdij.2020.04.00072","url":null,"abstract":"Sleep is defined as a restorative and healthy stage, regulated by endogenous and exogenous factors that coincide over a 24-hour period, being called the circadian cycle or biological clock. Any change in lifestyle can lead to changes in this cycle and, consequently, in sleep.1 The National Cancer Institute José Alencar Gomes da Silva (INCA) describes cancer as a disorderly growth of cells that invade tissues and organs. These cells tend to be very aggressive and uncontrollable, being able to generate tumors and spread to other regions of the body.2 According to INCA, an estimated 625 thousand new cases of cancer in Brazil, in the years 2020/2022. The division of incidence by geographic region shows that the Southeast region concentrates more than 60% of the incidence, with a predominance of prostate and female breast cancers, as well as lung and intestine.2 Cancer is one of the main causes of illness and death in the world, affecting millions of people, partly due to population growth, aging, as well as changes in the distribution and prevalence of cancer risk factors, especially those associated with socioeconomic development.3,4 In patients diagnosed with cancer, the sleep regulatory mechanism is altered, being interrupted for a variety of reasons, such as difficulty in initiating sleep, the presence of nightmares, daytime sleepiness, insomnia, waking up in the middle of the night, staying awake for a long period, difficulty falling asleep and waking up very early.3","PeriodicalId":92291,"journal":{"name":"Sleep medicine and disorders : international journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78130151","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

Pregabalin abuse as a sleep medication: case reports 普瑞巴林作为睡眠药物的滥用:案例报告

Sleep medicine and disorders : international journal Pub Date : 2020-08-26 DOI: 10.15406/smdij.2020.04.00071

Basavaraja Papanna, C. Lazzari, Kapil S. Kulkarni, Sivasankar Perumal

引用次数: 1

Heart rate variability in children with obstructive sleep apnea: a systematic review 阻塞性睡眠呼吸暂停患儿的心率变异性:一项系统综述

Sleep medicine and disorders : international journal Pub Date : 2020-02-17 DOI: 10.15406/smdij.2020.04.00067

Vanessa Cristina Cunha Sequeira

{"title":"Heart rate variability in children with obstructive sleep apnea: a systematic review","authors":"Vanessa Cristina Cunha Sequeira","doi":"10.15406/smdij.2020.04.00067","DOIUrl":"https://doi.org/10.15406/smdij.2020.04.00067","url":null,"abstract":"Obstructive Sleep Apnea (OSA) is a common respiratory disorder characterized by recurrent nocturnal episodes of breathing interruption due to the total or partial collapse of upper airway1 and affects 1.25.7% of children.2 The peak of incidence occurs at 2-8 years and the most common cause of OSA in children is enlarged tonsils and adenoids.2,3 Moreover, OSA is associated with morbidity that involves central nervous system (CNS), cardiovascular and metabolic systems.4 The recurrent hypoxia is suggested as the main cause of altered autonomic nervous system (ANS) in those patients.5,6 The obstructive episodes lead not only to hypoxia, but also intermittent hypercapnia, which can modulate the autonomic nervous system of OSA patients. Main consequences of hypoxia and hypercapnia include increased of sympathetic tone and sympathetic responsiveness as well as sympathetic-parasympathetic imbalance.4 There is also evidence that OSA alters heart rate response and systemic blood pressure, which can contribute to cardiovascular morbidities when adults.5 To evaluate the integrity of ANS is commonly used a non-invasive method named heart rate variability (HRV). HRV represents the oscilations of heart rate (HR) and it’s considered a measure of neurocardiac function that reflects ANS dynamics.7 Some pathologies, such as respiratory and cardiovascular diseases, shows lower HRV pattern, which is consistent with and abnormal adaptability of ANS, whereas healthy individuals exhibit higher HRV indices meaning an ANS adaptable and dynamically responsive to change.8 To address this issue, the aim of this study was to review whether heart rate variability was altered in children with obstructive sleep apnea. Methods","PeriodicalId":92291,"journal":{"name":"Sleep medicine and disorders : international journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79912520","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, hypertension, resistant hypertension and cardiovascular disease. 阻塞性睡眠呼吸暂停，高血压，顽固性高血压和心血管疾病。

Sleep medicine and disorders : international journal Pub Date : 2020-01-01 Epub Date: 2020-11-23

Shazia Jehan, Ferdinand Zizi, Seithikurippu R Pandi-Perumal, Samy I McFarlane, Girardin Jean-Louis, Alyson K Myers

{"title":"Obstructive sleep apnea, hypertension, resistant hypertension and cardiovascular disease.","authors":"Shazia Jehan, Ferdinand Zizi, Seithikurippu R Pandi-Perumal, Samy I McFarlane, Girardin Jean-Louis, Alyson K Myers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is one of the most common causes of hypertension (HTN) and cardiovascular disease (CVD). It is also a quite common underlying factor in resistant HTN (RHTN). The main etiological factor of OSA is obesity, which is a rapidly growing global epidemic. To control obesity, patients should be encouraged by health care professionals to lose weight and be educated about weight loss strategies such as lifestyle modifications, which include regular exercise, low-calorie diet, low sodium intake, smoking cessation, and decreased alcohol consumption. This review also emphasizes the importance of screening for OSA as the major underlying cause of essential, and RHTN, which can lead to CVD and can cause end-organ damage. It also stresses the importance of using continuous positive airway pressure (CPAP) and its beneficial effects, along with other antihypertensive regimens, in treating HTN, and RHTN. Treatment with CPAP therapy decreases sympathetic activity, high blood pressure (BP), heart rate, and CVD as well as its associated mortality.</p>","PeriodicalId":92291,"journal":{"name":"Sleep medicine and disorders : international journal","volume":"4 3","pages":"67-76"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/77/nihms-1662816.PMC7830712.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38870240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep disturbance in obsessive compulsion disorder (OCD) 强迫症患者的睡眠障碍

Sleep medicine and disorders : international journal Pub Date : 2019-03-29 DOI: 10.15406/SMDIJ.2019.03.00063

T. Nichols

引用次数: 1

The effects of partial sleep deprivation and the maximal ndks exercise testing protocol on s-klotho, maximal oxygen uptake, and hemodynamic responses in young men 部分睡眠剥夺和最大ndks运动测试方案对年轻男性s-klotho、最大摄氧量和血流动力学反应的影响

Sleep medicine and disorders : international journal Pub Date : 2019-02-28 DOI: 10.15406/smdij.2019.03.00062

Moran Sciamama-Saghiv, L. Welch, E. Goldhammer, D. BenSira, M. Sagiv

{"title":"The effects of partial sleep deprivation and the maximal ndks exercise testing protocol on s-klotho, maximal oxygen uptake, and hemodynamic responses in young men","authors":"Moran Sciamama-Saghiv, L. Welch, E. Goldhammer, D. BenSira, M. Sagiv","doi":"10.15406/smdij.2019.03.00062","DOIUrl":"https://doi.org/10.15406/smdij.2019.03.00062","url":null,"abstract":"The topic of aging and anti-aging has interested humanity from the start of time.1 In Greek myth (According to Hesiod’s Theogony), the goddess Clotho spins the thread of life; the goddess Lakhesis determines the length of the thread; and the goddess Atropos cuts the thread.2 Different extents of sleep deprivation (partial and/ or full) may negatively influence physiological responses, and function.3–8 Influences are characterized as endocrinological, behavioral, physiological, and neurological, as well as sex specific (male vs female).9–11 Negative influences reported include endothelial dysfunction, hypertension, decreased brain activity, cardiac dysfunction, heart rate variability, arrhythmias, blood pressure, renal function, and more.12–15 On the other hand, in humans and rats, various exercise modalities such as aerobic training, and resistance training negate part and/or all of the adverse effects via positive adaptation in nature.16–19 In humans, the S-Klotho enzyme, a type I membrane proteinis encoded by the KL gene.20,21 Without yet indicating the nature of the influence, the protein is associated with alcohol consumption, the degenerative process, bone lose, and acceleration of aging.22–26 As part of the growth process at the cellular level, S-Klotho helps determine the sensitivity to insulin, via mediating the binding of FGF19, FGF20, and FGR23 to their receptors.25 Via means of endothelium-derived Nitric Oxide production, S-Klotho protects the cardiovascular system,27,28 decreased TRPC6 expression, increases TRPV5expression, increases membrane expression of inward rectifier ROMK affecting cellular calcium homeostasis.","PeriodicalId":92291,"journal":{"name":"Sleep medicine and disorders : international journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85023795","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

The effects of partial sleep deprivation and the sub-maximal NDKS exercise testing protocol on S-Klotho and hemodynamic responses in women 部分睡眠剥夺和次最大NDKS运动测试方案对女性S-Klotho和血流动力学反应的影响

Sleep medicine and disorders : international journal Pub Date : 2019-02-04 DOI: 10.15406/smdij.2019.03.00061

Moran Sciamama-Saghiv, L. Welch, E. Goldhammer, D. BenSira, M. Sagiv

引用次数: 1

Relationship between health related locus of control and health behaviour among university students 大学生健康相关控制源与健康行为的关系

Sleep medicine and disorders : international journal Pub Date : 2019-01-16 DOI: 10.15406/smdij.2019.03.00060

Aleks, ra Slopiecka, M. Chrapek

引用次数: 3