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1

Arun Özer, Esra, Babadır İşeri, Gülben Sözen, Yahya Aydın, Mehmet Tellioğlu, Gülben Sözen, and Ali Rahmi Bakiler. "Sleeping Disorders in lnfancy." Journal of Tepecik Education and Research Hospital 13, no. 3 (2003): 171–75. http://dx.doi.org/10.5222/terh.2003.65627.

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Sammer, A., and F. Sammer. "Sleeping disorders in children." Manuelle Medizin 58, no. 3 (March 20, 2020): 154–59. http://dx.doi.org/10.1007/s00337-020-00670-w.

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SHERMAN, CARL. "Sleeping Problems in Mood, Anxiety Disorders." Clinical Psychiatry News 34, no. 2 (February 2006): 58. http://dx.doi.org/10.1016/s0270-6644(06)71195-x.

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Akita, Yasutaka, Tadao Nishimura, Nobuhiro Shibata, Kenji Kawakatsu, Chikaya Hattori, and Mikio Yagisawa. "Sleeping Position in Sleep-related Respiratory Disorders." Nihon Kikan Shokudoka Gakkai Kaiho 51, no. 1 (2000): 28–35. http://dx.doi.org/10.2468/jbes.51.28.

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Tuyani-Solimán, Nadia, María Rosario Román-Gálvez, Rocío Olmedo-Requena, and Carmen Amezcua-Prieto. "Prevalence of sleeping disorders in college students." ACTUALIDAD MEDICA 100, no. 795 (August 31, 2015): 66–70. http://dx.doi.org/10.15568/am.2015.795.or01.

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DESANTO, R. "Sleeping Disorders in Early Chronic Kidney Disease." Seminars in Nephrology 26, no. 1 (January 2006): 64–67. http://dx.doi.org/10.1016/j.semnephrol.2005.06.014.

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7

Karkos, P. D., S. C. Leong, J. Benton, A. Sastry, D. A. Assimakopoulos, and W. J. Issing. "Reflux and sleeping disorders: a systematic review." Journal of Laryngology & Otology 123, no. 4 (March 2, 2009): 372–74. http://dx.doi.org/10.1017/s0022215109004976.

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AbstractIntroduction:Laryngopharyngeal reflux is perhaps the most extensively researched laryngology topic of the last decade. It has been suggested that some supraoesophageal symptoms, most notably asthma and laryngospasm, may be associated with night-time, or supine, reflux. The aim of this review was to assess the levels of evidence regarding a correlation between night-time reflux, snoring and apnoea.Methods:A Medline search was performed using the terms ‘reflux’, ‘night-time’, ‘larynx’, ‘gastroesophageal’, ‘laryngopharyngeal’, ‘sleep’, ‘apnoea’, ‘snoring’ and ‘ear nose throat’. The retrieved literature was reviewed, focusing on randomised and non-randomised, controlled, prospective trials. Papers on both paediatric and adult populations were included. Non-English language papers were excluded.Results:We found no randomised, controlled trials or meta-analyses addressing the possible correlation between reflux and snoring and/or apnoea.Conclusions:The role of night-time reflux in paediatric and adult snoring and apnoea is well described in the literature, but is based on poor levels of evidence from uncontrolled studies and case reports.
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Andrews, H. B., and N. Davis. "SLEEPING DISORDERS AMONG WEST AUSTRALIAN TERTIARY STUDENTS." Community Health Studies 12, no. 2 (February 12, 2010): 208–11. http://dx.doi.org/10.1111/j.1753-6405.1988.tb00162.x.

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9

Ferrario, R., L. Saita, and A. Cernuschi. "1436 Sleeping disorders in advanced cancer patients." European Journal of Cancer 31 (November 1995): S304. http://dx.doi.org/10.1016/0959-8049(95)96682-4.

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Lestari, Hesti, Audrey Mety Iriani Wahani, Rocky Wilar, and Permatami Herwansyah. "Risk factors for sleep problems in infants." Paediatrica Indonesiana 60, no. 4 (July 20, 2020): 186–91. http://dx.doi.org/10.14238/pi60.4.2020.186-91.

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Background Sleep disorders in infants can cause developmental problems, suboptimal growth, behavioral disorders, fatigue, irritability, impulsiveness, and poor mother-infant bonding. Objective To evaluate possible risk factors for sleep disorders in infants. Methods This cross-sectional study was conducted in healthy infants aged 3-6 months. Subjects were selected using proportional random sampling from four different primary healthcare facilities in Manado, North Sulawesi. Their parents completed the Brief Infant Sleep Questionnaire. Sleep disorder was defined as the presence of one or more conditions including sleep duration less than 9 hours at night (from 19.00 until 07.00), waking up at night (from 22.00 until 06.00) more than 3 times, and more than 1 hour waking at night. Results Of 112 subjects, 58 (51.8%) were male. Subjects’ mean age was 4.21 (SD 0.829) months and 76 (67.86%) experienced sleep disorders. Sleep disorders had significant associations with low socioeconomic status (OR 17; 95%CI 3.8 to 75.8), middle school or lower maternal education (OR 44.5; 95%CI 9.8 to 202), non-supine sleeping position (OR 8.8; 95%CI 1.9 to 39.7), parental use of electronic devices (OR 156.2; 95%CI 35.1 to 692.9), and non-exclusive breastfeeding (OR 85.2; 95%CI 21.1 to 344.2). Correlative analyses also revealed that electronic media usage had the strongest association with sleep disorders, followed by breastfeeding pattern, maternal education, socioeconomic status, and sleeping position ( 0.839, 0.771, 0.624, 0.433, and 0.309, respectively). However, there were no significant correlations upon multivariate analysis. Conclusion Parental use of electronic media before sleeping is the strongest risk factor for sleep disorders among infants, followed by non-exclusive breastfeeding pattern, low maternal education, low socioeconomic status, and non-supine sleeping position. However, none of these correlations were significant upon multivariate analysis, this show that all these factors influence sleep together
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Islam, Maidul. "Link between Excessive Smartphone Use and Sleeping Disorders and Depression among South Korean University Students." Healthcare 9, no. 9 (September 14, 2021): 1213. http://dx.doi.org/10.3390/healthcare9091213.

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The purpose of this study was to explore the link between smartphone use and sleeping disorders and depression among university students in South Korea. South Korea has the highest mobile phone penetration rate as well as the highest rate of suicide of any of the Organization for Economic Cooperation and Development (OECD) nations, thus making this study of great importance. The core aim was to see whether the excessive use of smartphones has an association with sleeping disorders and depression. A cross-sectional analysis was performed to establish if there was any link between smartphone use and sleeping disorders and depression. Samples from 188 participants were used for this study. Data were collected using two well-established questionnaires, the Center for Epidemiologic Studies-Depression (CES-D) and the Athene Insomnia Scale (AIS), as well as a few questions on smartphone use. A few demographic questions were added to the questionnaire. The results of this study concluded that a significant relationship exists between smartphone use and depression. However, the finding of this research could not uncover a significant relationship between smartphone use and sleeping disorders among university students in South Korea. The excessive use of smartphones shows a relationship to an unhealthy lifestyle. There is a clear indication that the overuse of smartphones could be linked to depression. Furthermore, the study found that students with depression also tend to have sleeping disorders.
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Kosmadakis, G. C., and J. F. Medcalf. "Sleep disorders in dialysis patients." International Journal of Artificial Organs 31, no. 11 (November 2008): 919–27. http://dx.doi.org/10.1177/039139880803101101.

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Poor sleep and sleep-related breathing disorders are common in patients with end-stage renal disease (ESRD) but are often unrecognized and undertreated. Sleep disorders are known negative prognostic factors for morbidity and mortality. The most frequent sleep disorders seen in patients with ESRD are conditioned insomnia, excessive daytime sleepiness, obstructive or central sleep apnea (SA), as well as restless legs syndrome (RLS) and periodic limb movement disorder (PLMD). Several uremic and nonuremic factors are thought to participate in the pathogenesis of sleep disorders in patients with ESRD. The therapy of sleeping disorders includes nonpharmacological and pharmacological measures that can improve the functionality and quality of life in patients with ESRD.
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Sylvie, R. P., H. Sarah, C. D. Francs Claire, D. Sylvain, and E. Pierre. "277 Management of sleeping disorders: the Morphee network." BMJ Quality & Safety 19, Suppl 1 (April 1, 2010): A131—A133. http://dx.doi.org/10.1136/qshc.2010.041624.85.

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Wang, L., H. Yunfeng, H. Xiang, L. Bai, and L. Stallones. "Sleeping disorders and work-related injuries among farmers." Injury Prevention 16, Supplement 1 (September 1, 2010): A97—A98. http://dx.doi.org/10.1136/ip.2010.029215.351.

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Al-Ameri, Laith, Talib Mohsin, and Ali Abdul Wahid. "Sleep Disorders Following Mild and Moderate Traumatic Brain Injury." Brain Sciences 9, no. 1 (January 11, 2019): 10. http://dx.doi.org/10.3390/brainsci9010010.

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(1) Background: Sleeping disorders are frequently reported following traumatic brain injury (TBI). Different forms of sleeping disorders have been reported, such as sleepiness, insomnia, changes in sleeping latency, and others. (2) Methods: A case-control study with 62 patients who were victims of mild or moderate TBI with previous admissions to Iraqi tertiary neurosurgical centers were enrolled as the first group, and 158 patients with no history of trauma were considered as the control. All were 18 years of age or older, and the severity of the trauma and sleep disorders was assessed. The Pittsburgh sleep quality index was used to assess sleep disorders with average need for sleep per day and average sleep latency were assessed in both groups. Chi-square and t-test calculations were used to compare different variables. (3) Results: 39 patients (24.7%) of the controlled group experienced sleeping disorders compared to TBI group with 45 patients (72.6%), P-value < 0.00001. A total of 42 patients were diagnosed on admission as having a mild degree of TBI (mean GCS 13.22 ± 1.76) and 20 patients were diagnosed with moderate TBI (mean GCS11.05 ± 1.14. 27). A total of 27 (46.28%) patients with mild severity TBI and 18 patients (90%) of moderate severity were considered to experience sleeping disorders, P-value 0.0339. Each of the mild and moderate TBI subgroups show a P-value < 0.00001 compared to the control group. Average sleep hours needed per day for TBI and the control were 8.02 ± 1.04 h and 7.26 ± 0.58 h, respectively, P-value < 0.00001. Average sleep latency for the TBI and the control groups were 13.32 ± 3.16 min and 13.93 ± 3.07 min respectively, P-value 0.065. (4) Conclusion: Sleep disturbances are more common following mild and moderate TBI three months after the injury with more hours needed for sleep per day and no significant difference in sleep latency. Sleep disturbances increase in frequency with the increase in the severity of TBI.
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Blum, Johannes A., Caecilia Schmid, Christoph Hatz, Leon Kazumba, Patrick Mangoni, Jonas Rutishauser, Anna la Torre, and Christian Burri. "Sleeping glands?—The role of endocrine disorders in sleeping sickness (T.b. gambiense Human African Trypanosomiasis)." Acta Tropica 104, no. 1 (October 2007): 16–24. http://dx.doi.org/10.1016/j.actatropica.2007.07.004.

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Kaymaz, Nazan, Emel Sarı Gökten, Mehmet Erdem Uzun, Şule Yıldırım, Mustafa Tekin, Naci Topaloğlu, and Fatih Köksal Binnetoğlu. "Prolonged rooming-in in infancy is associated with generalized anxiety disorder in the adolescent period." International Journal of Adolescent Medicine and Health 27, no. 4 (November 1, 2015): 383–89. http://dx.doi.org/10.1515/ijamh-2014-0045.

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Abstract Objective: This study aims to investigate whether anxiety disorders in adolescents have a link with the separation time of bed/bedroom sharing with parents. It also aims to raise awareness in society about the issue of minimizing anxiety disorders in childhood. Methods: A case-control study was conducted in Şevket Yılmaz Training and Research Hospital between June 2013 and May 2014. The participants included 51 adolescents who were diagnosed as generalized anxiety disorder (GAD) with no-comorbidity and 71 healthy adolescents as the control group, who were chosen randomly. Diagnosis of GAD was based on the criteria from the Diagnostic and Statistical Manual of Mental Disorders (4th ed) by child and adolescent psychiatry doctors. The Turkish version of the State-Trait Anxiety Inventory (STAI) was used for the control group. A special survey about demographics and bed-sharing statements was constructed for the purpose of the study. The groups were analyzed in terms of duration of co-sleeping (bed-sharing) and rooming-in (keeping the mother and the baby in same room) with parents during infancy and the development of anxiety disorders in later period. Results: Mean duration of rooming-in was significantly longer in the case group than in the control group (p=0.009). Similarly, mean duration of co-sleeping in the case group was longer than that of the control group. However, this difference was not statistically significant (p=0.529). Conclusion: Sleeping in the same room with children for a long time may result in anxiety disorders in later period due to possible difficulties in bonding and/or less self-confidence.
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Herwanto, Herwanto, Hesti Lestari, Sarah M. Warouw, and Praevilia M. Salendu. "Sleep disturbance scale for children as a diagnostic tool for sleep disorders in adolescents." Paediatrica Indonesiana 58, no. 3 (June 8, 2018): 133–7. http://dx.doi.org/10.14238/pi58.3.2018.133-7.

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Background. Sleep is an essential needs for every children. Sleep may cause a large effect on mental health, emotional, physical and immune system. If sleeping time is not sufficient, then sleep disturbance may occur. Objective assessment of the sleeping quality can be done by using Polysomnography and Actigraphy, while for assessing the subjectivity of sleeping quality and quantity can be used questionnaires or interviews. Sleep Disturbance Scale for Children or SDSC is a multidimensional sleeping assessment questionnaire.Objective. To determine the quality of sleeping in adolescents using SDSC.Methods. We conducted a diagnostic test study using cross sectional method, during March to April 2015 at the elementary schools in manado. The inclusion criteria were healthy adolescent aged 10 to 12 years, the parents were willing to sign the informed consent and answer the questionnaire, agreed to attach the wristactigraph. All datas were analyzed using chi square test and table 2 x 2 to showed sensitivity, specificity, positive predicitive value and negative predictive value.Results. Of 60 adolescents, 31 were female and 29 were male with the mean age 11.39 years. The results showed the sensitivity of SDSC was 80.6%, the specificity was 37.9%, the positive predictive value was 58.1% and negative predictive value was 64.7%.Conclusions. Sleep Disturbance Scale for Children is a good screening tool for early detection of sleep disorders in a adolescent.
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Akçay, Nimet İlke, Anthony Awode, Mariyam Sohail, Yeliz Baybar, Kamal Alweithi, Milad Mahmoud Alilou, and Mümtaz Güran. "Sleeping Disorders and Anxiety in Academicians: A Comparative Analysis." Journal of Turkish Sleep Medicine 5, no. 3 (September 1, 2018): 86–90. http://dx.doi.org/10.4274/jtsm.43153.

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20

Suhl, Jeremiah. "The Neuropharmacology of Sleep Disorders: Better Sleeping Through Chemistry?" Journal of Pharmacy Practice 20, no. 2 (April 2007): 181–91. http://dx.doi.org/10.1177/0897190007305149.

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Sleep and wake states involve interaction among many brain centers via multiple neurotransmitters, including dopamine, norepinephrine, hypocretin, acetylcholine, histamine and serotonin (wake promoting), and γ amino butyric acid (GABA) and melatonin (sleep promoting). Most medications for insomnia or hypersomnia act on elements of these neural systems. Initial treatment of insomnia includes sleep hygiene measures. Cognitive-behavioral therapy for insomnia is useful. Medications approved by the Food and Drug Administration for insomnia act on GABA receptors or on melatonin receptors. A frequent cause of insomnia is restless legs syndrome, which is linked to reduced dopaminergic activity in brain structures; idiopathic restless legs syndrome is best treated with dopamine agonists such as ropinerole or pramipexole. Excessive daytime sleepiness is most often due to insufficient sleep hours or sleep apnea but is also caused by medications, illnesses, narcolepsy, or idiopathic hypersomnia. Stimulants generally act through enhanced dopamine action (amphetamines, methylphenidate) or acetylcholine action (caffeine). Modafinil may act through enhanced central histamine, hypocretin, and possibly dopamine action. A newer agent, γ -hydroxybutyrate (GHB), acts on GABA and GHB receptors to consolidate sleep, improving daytime sleepiness in narcolepsy. Improving knowledge of sleep/wake mechanisms should lead to more specific and rational treatments for sleep disorders.
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Alrimi, Sara Khalid, Raghad Abdulrahman Aljeffry, Raghad Ishag Isa, Jumanah Ahmed Sharkar, Rawah Mohammad Bokhari, Sahar Elashmony, Arwa Fairaq, and Yosra Al-Hindi. "Sleep Disorders, Sleeping Pills and Hypertension: A Systematic Review." International Journal of pharma and Bio Sciences 11, no. 2 (March 6, 2021): 159–66. http://dx.doi.org/10.22376/ijpbs/lpr.2021.11.2.p159-166.

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Serafini, G., B. Engel-Yeger, X. Gonda, M. Pompili, Z. Rihmer, and M. Amore. "Sensory hypersensitivity predicts reduced sleeping quality in patients with major affective disorders." European Psychiatry 33, S1 (March 2016): S110. http://dx.doi.org/10.1016/j.eurpsy.2016.01.102.

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IntroductionMajor affective disorders ranging from subthreshold affective temperaments to severe affective diseases and anxiety, are frequently associated with sleep–wake dysregulation. Interestingly, recent studies suggested an active role of Sensory Processing Disorders (SPD) in the emergence of sleep disturbances.ObjectivesThe objective of this study was to investigate the relationship between SPD and sleep quality in subjects with major affective disorders and specific affective temperaments.AimsThis study aimed to examine the sensory profile (expressed in hypersensitivity or hyposensitivity) of patients with major affective disorders and its relative contribution to the prediction of sleep quality while also considering affective temperaments and depression, known as factors that may impact sleep quality.MethodsWe recruited 176 participants (mean age = 47.3) of which 56.8% have unipolar depression and 43.2% bipolar disorder. Reduced sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI) whereas affective temperaments were assessed using the Temperament Evaluation of Memphis, Pisa, Paris and San Diego (TEMPS).ResultsSensory hypersensitivity, assessed using Adolescent/Adult Sensory Profile (AASP), significantly distinguished between poor and good sleepers. Sleep quality was mainly predicted by the Beck Depression Inventory-II total score and anxious temperament. Yet, sensory hypersensitivity contributed to this prediction mainly in regard to sleep efficiency and related daytime dysfunctions.ConclusionsThe careful assessment of the unique sensory profile and its behavioral/functional influence on patients’ quality of life may help clinicians and health providers in developing targeted treatment interventions.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Yamada, S., and K. Yamada. "1215 Improving Sleep Disorders And Chronic Neck Pain By Adjusting Height Of The Pillow Through Cervical Posture Management." Sleep 43, Supplement_1 (April 2020): A464. http://dx.doi.org/10.1093/sleep/zsaa056.1209.

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Abstract Introduction Recent studies have suggested that chronic musculoskeletal system pain, including chronic neck pain, accounts for approximately 70% of all sleeping disorders. Simultaneously, sleeping disorders increase pain sensitivity and create a vicious cycle of chronic neck pain. Patients with chronic pain experience a variety of somatic symptoms (e.g., Stomach or bowel problems, Back pain, Pain in your joints, headaches, chest pain, shortness of breath, dizziness, fatigue, and Trouble sleeping) that are difficult to treat. However, treatment of both neck chronic pain and sleeping disorders through cervical posture management by adjusting height of the pillow used while sleeping has yet to be considered. Methods Patients who visited our hospital with chief complaints of chronic neck pain were rated according to the Numerical Rating Scale (NRS) and were asked to answer the Somatic Symptom Scale-8 (SSS-8), to ascertain the degree of somatic symptoms. Out of all the patients, only 84 scored at least 8 out of 32 in the SSS-8. Based on the individual results of the 84 respondents, they were given customized pillows to be used for 3 months. The pillows were adjusted using the SSS method developed at our clinic. We adjusted the height of the pillow by 5mm increments to check the cervical inclination angle at approximately 15 degrees in supine position, lateral position with the center line from face to neck at left-right symmetry and finally confirming smooth turning over. The respondents performed NRS and SSS-8 after 2 weeks and 3 months of using the pillow. Results The results of this study showed that at 0 weeks / 2 weeks / 3 months. NRS score was 6.8 / 5.1 / 4.1 (p &lt;0.01), and the overall SSS-8 score was 13.2 / 9.9 / 8.2 (p &lt;0.01), showed a marked improvement. By symptom, all symptoms except Stomach or bowel problems showed significant improvement. Trouble sleeping showed the highest improvement at 2.6 / 1.7 / 1.3 (p &lt;0.01). Conclusion Chronic neck pain and sleeping disorders improved in the patients. These results suggested that cervical posture management by adjusting height of the pillow is an effective treatment method. Support None
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De Vecchi, A., S. Finazzi, R. Padalino, T. Santagostino, E. Bottaro, E. Roma, and R. Bossi. "Sleep Disorders in Peritoneal and Haemodialysis Patients as Assessed by a Self-Administered Questionnaire." International Journal of Artificial Organs 23, no. 4 (April 2000): 237–42. http://dx.doi.org/10.1177/039139880002300405.

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Sleep disorders have been reported as a frequent problem in dialysis patients. However, only one paper has compared the prevalence and possible causes of this complication in peritoneal (PD) and haemodialysis (HD) patients. We surveyed 84 PD and 87 HD patients about disordered sleep using a self-administered questionnaire. Forty-nine percent of PD and 56% of HD patients reported problems sleeping. These problems were rated as severe by 29 PD and 22 HD patients. Type of disturbances involved delayed sleeping (13 PD and 32 HD, p< 0.005), interrupted sleep (32 PD and 44 HD) and early morning awakening (25 PD and 37 HD). The number of hours of sleep varied widely among patients: it was 5 and 21 minutes in PD patients with sleep disorders and 7 and 37 min in PD pts without such problems. No statistically significant relationship was evidenced between sleep disorders and age, sex, body weight, obesity, duration of dialysis, dialysis dose, self-assessed sadness, anxiety, worry, pain, pruritus, dyspnoea, restless leg syndrome, use of cigarettes, caffeine, or sleeping pills. In conclusion, sleep disorders are a frequent problem in both PD and HD patients. Apparently the relationship with demographics, dialysis dose, lifestyle and personality traits is poor. The possible role of other causes should be investigated.
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Li, Chunnan, and Shaomei Shang. "Relationship between Sleep and Hypertension: Findings from the NHANES (2007–2014)." International Journal of Environmental Research and Public Health 18, no. 15 (July 25, 2021): 7867. http://dx.doi.org/10.3390/ijerph18157867.

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Background: To evaluate the association of sleep factors (sleep duration, self-reported trouble sleeping, diagnosed sleep disorder) and combined sleep behaviors with the risk of hypertension. Methods: We analyzed 12,166 adults aged 30–79 years who participated in the 2007–2014 National Health and Nutrition Examination Survey. Sleep duration, self-reported trouble sleeping and sleep disorders were collected using a standardized questionnaire. We included three sleep factors (sleep duration, self-reported trouble sleeping and sleep disorder) to generate an overall sleep score, ranging from 0 to 3. We then defined the sleep pattern as “healthy sleep pattern” (overall sleep score = 3), “intermediate sleep pattern” (overall sleep score = 2), and “poor sleep pattern” (0 ≤ overall sleep score ≤ 1) based on the overall sleep score. The definition of hypertension was based on self-reported antihypertensive medication use or biological measurement (systolic blood pressure ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg). We used weighted logistic regression models to investigate the associations between sleep and hypertension. Results: The overall prevalence of hypertension was 37.8%. A short sleep duration (OR = 1.20, 95% CI: 1.08 to 1.33, p = 0.001), self-reported trouble sleeping (OR = 1.45, 95% CI: 1.28 to 1.65, p < 0.001) and sleep disorder (OR = 1.33, 95% CI: 1.07 to 1.66, p = 0.012) were related to the risk of hypertension. Poor sleep patterns were closely correlated with the risk of hypertension (OR = 1.90, 95% CI: 1.62 to 2.24). Conclusions: Participants with poor sleep patterns were associated with an increased risk for hypertension.
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Satam, Shubhangee. "Evaluation of a polyherbal combination HCE-10 in sleeping disorders." Chronicles of Young Scientists 2, no. 3 (2011): 176. http://dx.doi.org/10.4103/2229-5186.90899.

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Castellano, I. Pitarch, F. Puertas Cuesta, and A. Perez Pitarch. "Sleeping disorders related with alterations of melatonine secretion circadian rhythm." Sleep Medicine 14 (December 2013): e93. http://dx.doi.org/10.1016/j.sleep.2013.11.196.

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Mignot, Emmanuel, Shahrad Taheri, and Seiji Nishino. "Sleeping with the hypothalamus: emerging therapeutic targets for sleep disorders." Nature Neuroscience 5, S11 (October 28, 2002): 1071–75. http://dx.doi.org/10.1038/nn944.

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Kamenski, Gustav, Ingrid Pichler, Beate Zöhrer, Frank Dobbs, and Rupert Jones. "Insomnia and sleeping disorders in the elderly in general practice." Wiener Medizinische Wochenschrift 154, no. 1-2 (January 2004): 27–31. http://dx.doi.org/10.1007/s10354-004-0007-x.

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Lampen-Imkamp, S., and W. Dillo. "Varenicline for the Treatment of Nightmares and Sleep Disturbance in Patients with Post-traumatic-stress-disorder (PTSD) - Two Case Reports." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71457-9.

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Aims:Varenicline is a drug used for smoking withdrawal symptoms. It reduces cravings by binding to alpha4-beta2-nicotine-acethylcholine-receptors of the central nervous system. Side effects are nausea, headache, sleeping disorders. Patients with PTSD complain of depressions, social isolation, insomnia, nightmares and flashbacks. These symptoms often cause a severe drug abuse. We present two patients complaining of sleeping disorders caused by nightmares. These symptoms were significantly reduced under treatment with Varenicline due to a nicotine abuse.Method:Patient A was a woman with a history of sexual abuse in childhood. Besides a drug abuse of benzodiazepines she presented a nicotine addiction. She was increasingly affected by nightmares and insomnia. Patient B was a woman, who grew up in a children's protectory, where she was involved in violence. A PTSD was accompanied by alcohol and benzodiazepine abuse. The PTSD caused episodes of depression with suicidal ideation, nightmares and insomnia.Results:Both patients were treated with Varenicline for smoking cessation. After few days of treatment, they reported improved sleeping behaviours and diminished nightmares.Conclusion:Currently only few studies confirm the effectiveness of alpha1-receptor-agonists (Prazosin) in PTSD-associated nightmares. Our case reports demonstrated the effectiveness of Vareniclin in the treatment of nightmares and sleeping disorders in two patients. The treatment with Vareniclin lead to modified dreaming behaviours with positive, less threatening dreams. Therefore a placebo-controlled study to assess the effectiveness of Vareniclin in the treatment of nightmares is necessary.
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De Santo, R. M., F. Lucidi, C. Violani, and B. R. Di Iorio. "Sleep Disorders in Hemodialyzed Patients – The Role of Comorbidities." International Journal of Artificial Organs 28, no. 6 (June 2005): 557–65. http://dx.doi.org/10.1177/039139880502800604.

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Background Sleep disorders are very frequent in hemodialyzed patients, but the relationship between these disorders and water withdrawal, urea removal and comorbidities has not been sufficiently clarified. Methods The study comprised a group of 88 patients in good nutritional condition, with target hemoglobin concentration, good control of blood pressure and optimal dry weight. After answering a questionnaire (SDQ) based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) patients were assigned to one of 3 groups: those with no disturbances (no. 20), those with subclinical disorders (n. 35) and insomniacs (n. 33). Yearly fluid and urea withdrawal by dialysis and the Charlson Comorbity Index were measured. Results Sleep disorders were observed in 77.27% of the patients. There was no difference in body fluid and urea withdrawal between groups. In the group of patients with no sleeping disturbances, the Charlson Comorbidity Index was significantly lower (p<0.001) than in patients with subclinical disorders or insomnia and emerged as a strongly associated with sleep disturbances. The study also attributes a predictive role to age, dialytic age, dialysis shift, antihypertensive drugs. The data indicate that, in evaluating sleeping disorders in patients on maintenance hemodialysis, comorbidities should be assessed.
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Xu, Tian-Rui, Yang Yang, Richard Ward, Linghuan Gao, and Ying Liu. "Orexin receptors: Multi-functional therapeutic targets for sleeping disorders, eating disorders, drug addiction, cancers and other physiological disorders." Cellular Signalling 25, no. 12 (December 2013): 2413–23. http://dx.doi.org/10.1016/j.cellsig.2013.07.025.

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Jang, Kyeung-Ae, and Hye-Jin Lee. "Effects of Smartphone Overuse on Academic Delay Behavior by Some Dental Hygiene Students: The Mediating and Moderating Effects of Sleep Disorder Characteristics." Korean Society of Oral Health Science 9, no. 2 (June 30, 2021): 54–60. http://dx.doi.org/10.33615/jkohs.2021.9.2.54.

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Objectives: This study examines the mediating and moderating effects of characteristics of sleep disorders on the impact of smartphone overuse on academic delay in dental hygiene students. Methods: A survey was conducted from October 19 to November 27, 2020, targeting 164 dental hygiene students in Busan and Daejeon. The analysis method used the SPSS 26.0 program. Results: As a result of analyzing the characteristics of sleep disorders, it was found that as the characteristics of sleep disorders increased, the influence of excessive use of smartphones on academic delay behavior increased (p<.001). Sleep disorder characteristics were found to partially mediate smartphone overuse and academic delay behavior, indicating that the sleep disorder characteristics were significant. Conclusions: This study explores the relationship between smartphone use and the sleeping habits of dental hygiene students and the impact of these factors on academic performance
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Kodak, Tiffany, and Cathleen C. Piazza. "Assessment and Behavioral Treatment of Feeding and Sleeping Disorders in Children with Autism Spectrum Disorders." Child and Adolescent Psychiatric Clinics of North America 17, no. 4 (October 2008): 887–905. http://dx.doi.org/10.1016/j.chc.2008.06.005.

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Doręgowska, Magdalena, and Monika Rudzińska-Bar. "SLEEP DISORDERS IN PARKINSON’S DISEASE." Wiadomości Lekarskie 72, no. 3 (2019): 425–31. http://dx.doi.org/10.36740/wlek201903120.

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Sleep disorder are common non-motor symptoms in Parkinson`s disease (PD). They can be found in different sleep stages or appear during the daytime. They correlate with faster progression of motor problems and lower quality of a patient’s life. Sleep physiology, different sleep dysfunction such as: RBD-REM sleep behavior disorder, EDS – excessive daytime sleepiness, insomnia, OSAS-obstructive sleep apnea syndrome, and their clinical manifestation have been presented in this review. Diagnostic and therapy possibilities have been summarized as well. Particular attention has also been paid to the coexistence of various non-motor symptoms such as pain, depression or nocturia, and their correlations with sleeping problems.
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Afdal, Afdal, Melsi Syawitri, and Miftahul Fikri. "Cognitive Behavior Therapy (CBT) in reducing Psychological Impacts on Children Victims of Domestic Violence." Jurnal EDUCATIO: Jurnal Pendidikan Indonesia 5, no. 2 (December 18, 2019): 109. http://dx.doi.org/10.29210/120192358.

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<p>The psychological impact of violence in the household is more severe than the physical impact, including fear, anxiety, fatigue, post traumatic stress disorder, eating and sleeping disorders, and children with severe mental problems can think of suicide. This article aims to present an analysis of the psychological impact on child victims of domestic violence using the literature method and cognitive behavioral therapy approaches that can be carried out by counselors.</p>
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Ventura, Paula Sol, Ana F. Ortigoza, Yanira Castillo, Zelmira Bosch, Sara Casals, Cristina Girbau, Jose M. Siurana, Amalia Arce, Marisa Torres, and Francisco J. Herrero. "Children’s Health Habits and COVID-19 Lockdown in Catalonia: Implications for Obesity and Non-Communicable Diseases." Nutrients 13, no. 5 (May 13, 2021): 1657. http://dx.doi.org/10.3390/nu13051657.

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Lockdown during the COVID-19 pandemic imposed changes in children’s daily routine that could lead to changes in behavior patterns. Using a survey targeted at children under 17 years of age, we described dietary (adherence to Mediterranean diet, AMD) and sleeping habits (disorders of initiating and maintaining sleep) after the implementation of lockdown, and examined the probability of the inadequate frequency of physical activity (PA) and use of TV and electronic devices (TV-ED) before and after lockdown through generalized estimating equation models, accounting for age and gender differences. From 3464 children included, 53.2% showed optimal AMD; 79.2% referred to delayed bedtime; and 16.3% were suspected of sleeping disorders after the implementation of lockdown. Delay in bedtime was more frequent among children older than 6 years, and inadequate sleeping hours among those younger than 11 years. There were no gender differences in AMD or sleeping habits. The odds of inadequate frequency of PA and TV-ED use were greater after lockdown, with a greater risk for TV-ED use. Boys were at greater risk of inadequate PA frequency and TV-ED use. Odds ratio of inadequate PA was greater at older ages. Lockdown could influence changes in children’s habits that could lead to risk factors for non-communicable diseases during adulthood if such behaviors are sustained over time.
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Lin, Yu Jen, Yue Liang Guo, and Saou-Hsing Liou. "O7B.3 A cohort study of sleep on health psychology among professional drivers." Occupational and Environmental Medicine 76, Suppl 1 (April 2019): A63.1—A63. http://dx.doi.org/10.1136/oem-2019-epi.169.

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BackgroundLong-term effects of sleep-related factors on risk of psychiatric disorders among professional drivers have not been conclusive. A cohort study was used to evaluate the effectiveness of subjective and objective sleep assessment tools to assess for both the 7 year risk of psychiatric disorders events. Methods: Taiwan Bus Driver Cohort Study (TBDCS) recruited 1650 professional drivers from a large bus company in Taiwan in 2005. The subjects were interviewed in person, completed the sleep assessment questionnaires (Pittsburg sleeping quality score (PSQI), Epworth daytime sleepiness score (ESS), Snore Outcomes Survey score(SOS)), and had an overnight pulse oximeter survey. Psychiatric diseases as diagnosed in the National Health Research Database were the outcomes of this study, including substance abuse, anxiety, mood, and sleep disorders. Cox proportional hazards model was performed to estimate the hazard ratio for psychiatric disorders. Results: Between 2006 and 2012, 102 bus drivers were diagnosed as having psychiatric disorders. Psychiatric disorders were related to higher PSQI score, SOS score, ODI4 levels, and ODI3 levels. The relation between PSQI and psychiatric disorders remains robust after adjusting for age, education, drinking, smoking, refreshing drinks, exercise, bus driving experience, and shift modes. Conclusion: This study showed increased psychiatric disorders in the 7 year follow-up after self-reported poor sleeping quality. Further research is warranted to develop strategies for preventing sleep-related psychiatric disorders among professional drivers.
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Anttila, Minna, Marjo Kurki, and Maritta Välimäki. "Sleeping behaviors of adolescents with depressive disorders: adolescent self-description of sleeping reported through a web-based support system." Informatics for Health and Social Care 44, no. 4 (July 24, 2019): 338–50. http://dx.doi.org/10.1080/17538157.2019.1640223.

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Leven, Y., F. Wiegand, and B. Wilken. "Sleep Quality in Children and Adults with Rett Syndrome." Neuropediatrics 51, no. 03 (March 6, 2020): 198–205. http://dx.doi.org/10.1055/s-0040-1701693.

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Abstract Background Over 80% of individuals suffering from Rett syndrome (RTT) are affected over their life period by sleeping disorders. Little is known about the impact of those on the quality of life and a clinical approach to the treatment of sleep disturbances is lacking. Aims Primary aim was to assess sleep quality in children and adults. Secondary aim was to assess behavioral disorders and their relationship to sleep quality. The medication taken by the subjects was also included. Methods Sleep quality and medication were assessed using the sleeping questionnaire for children with neurological and other complex diseases (SNAKE). Behavioral disorders were assessed by the Rett Syndrome Behavior Questionnaire (RSBQ). Questionnaires were sent to the 700 members of the Elternhilfe für Kinder mit Rett Syndrom in Deutschland e.V. (Rett Aid) of which 287 were included. Questionnaires were filled out by the primary caregivers. Results Sleep quality was rated as very good to good by over 60% of caregivers in contrast to data available in the literature. Behavioral disorders related to regression such as loss of acquired hand skills (p = 0.046) and isolation (p = 0.002) were found to be associated with sleep quality. Melatonin showed a significant association (p = 0.007) with sleep quality. Conclusion Our study showed sleep dysfunction to be less prevalent in RTT-affected individuals than evidence from past studies has suggested. Nevertheless, this remains a subjective assessment of sleep quality and therefore the need to find objective, disorder-specific parameters that measure sleep quality in RTT patients persists.
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Maruta, N., S. Kolyadko, G. Kalenska, and M. Denysenko. "Addictive status in neurotic disorders." European Psychiatry 41, S1 (April 2017): S312. http://dx.doi.org/10.1016/j.eurpsy.2017.02.216.

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IntroductionAt the present stage of psychiatry development, the problem of co-morbidity, which is an important factor determining the effectiveness of treatment. One of such tendencies is the combination of neurotic pathology and addictive behavior (AB).ObjectivesTo research AB features in neurotic disorders.MethodologyOne hundred and forty-eight patients with neurotic disorders: neurasthenia (F48.0), dissociative disorder (F44.7), anxiety-phobic disorder (F40.8), according to ICD-10 criteria. Clinical-psychopathological, psychodiagnostic (AUDIT-like tests), statistical methods were used.ResultsIt was found out that the patients with neurotic disorders had a high risk of AB formation (59.73%). The most prominent among AB were: the use of psychoactive substances (tea/coffee [11,682], tobacco [8,091], sedatives [6,964], food addiction [14,036]), as well as socio-acceptable AB, such as Internet (13,527), watching television (9,982), computer games (2,909), shopping (7,264), workaholism (15,018). Socio-demographic characteristics of the generation of neurotic disorders with AB were determined: young age (50.46%), AB presence among the surrounding people (91.64%), a short interval of time between the psychogenic factor exposure and the first signs of neurotic disorder (50.46%). The clinical pattern of neurotic disorders with AB was characterized by a predominance of anxiety-obsessive (35.78%), as well as anxiety-phobic (45.95%) syndromes associated with AB: “Shopping” (−0.32; −0.51, respectively), “Sleeping pills, sedatives” (−0.37; −0.42), “Sex” (−0.41; −0.37) and “Tea/coffee” (−0.34; −0.39).ConclusionsThe data obtained determine AB specificity and should be taken into account in pharmaco – and psychotherapy.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Zhao, Mingxia, Houzhen Tuo, Shuhui Wang, and Lin Zhao. "The Effects of Dietary Nutrition on Sleep and Sleep Disorders." Mediators of Inflammation 2020 (June 25, 2020): 1–7. http://dx.doi.org/10.1155/2020/3142874.

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Sleep disorder significantly affects the life quality of a large number of people but is still an underrecognized disease. Dietary nutrition is believed to play a significant impact on sleeping wellness. Many nutritional supplements have been used trying to benefit sleep wellness. However, the relationship between nutritional components and sleep is complicated. Nutritional factors vary dramatically with different diet patterns and depend significantly on the digestive and metabiotic functions of each individual. Moreover, nutrition can profoundly affect the hormones and inflammation status which directly or indirectly contribute to insomnia. In this review, we summarized the role of major nutritional factors, carbohydrates, lipids, amino acids, and vitamins on sleep and sleep disorders and discussed the potential mechanisms.
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Bueno, Ana Paula Rosinski, Flávia Medeiros Savi, Izabel Almeida Alves, and Vanessa Adelina Casali Bandeira. "Regulatory aspects and evidences of melatonin use for sleep disorders and insomnia: an integrative review." Arquivos de Neuro-Psiquiatria 79, no. 8 (August 2021): 732–42. http://dx.doi.org/10.1590/0004-282x-anp-2020-0379.

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ABSTRACT Background: Insomnia is a sleep disorder characterized by difficulty of falling asleep or maintaining sleep, which affects different age groups. Currently, melatonin is used as a therapeutic treatment in cases of insomnia in children, adults, and elderly people. Objective: To evaluate the effectiveness of melatonin in sleep disorders, its dosage, potential adverse effects, as well as labeling laws and regulations in Brazil. Methods: This integrative review was carried out using the Cochrane Library, Medline (Pubmed), and Science Direct databases. Twenty-five articles and three documents available on the Brazilian Society of Endocrinology and Metabology (SBEM) and National Health Surveillance Agency (ANVISA) websites published between 2015 and 2020 were selected to be evaluated in full. Results: It was found that in most of the selected articles the use of melatonin reduces sleep latency. The effective melatonin doses varied according to each age group, from 0.5 to 3 mg in children, 3 to 5 mg in adolescents, 1 to 5 mg in adults, and 1 to 6 mg in elderly people. Side effects are mild when taking usual doses. In Brazil, no registered drug and current regulation on the use and marketing of melatonin has been identified. Conclusion: The use of melatonin is an alternative therapy that can be used for sleeping disorders. According to the evidences found, it did not demonstrate toxicity or severe side effects, nor dependence even when administered at high doses, suggesting that it is a safe medication to treat patients of different ages suffering from sleeping disorders.
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Santos, Mariana Alvina dos, Erika de Souza Guedes, Ricardo Luís Barbosa, and Diná de Almeida Lopes Monteiro da Cruz. "Sleeping difficulties reported by patients with heart failure." Revista Latino-Americana de Enfermagem 20, no. 4 (August 2012): 644–50. http://dx.doi.org/10.1590/s0104-11692012000400003.

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The study aimed to describe the reports of heart failure patients on the factors that cause difficulties to sleep and the association of these factors with the quality of sleep. This cross-sectional study involved a non-probabilistic sample of 400 patients (mean age 57.8 years, 64.8% were men, average education of 6.1 years, 82.5% in functional class II or III) with heart failure. The main factors associated with sleeping difficulty were: nocturia, interrupted sleep at night and breathing difficulty. Sleeping difficulties in heart failure patients are diverse and there is an association between these difficulties and quality of sleep. Most of these disorders warrant professional nursing interventions.
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45

Li, Xiaomeng, Longlun Wang, Bin Qin, Yun Zhang, Zhiming Zhou, Yong Qin, Guangcheng Bao, Jie Huang, and Jinhua Cai. "A Sleeping rs-fMRI Study of Preschool Children with Autism Spectrum Disorders." Current Medical Imaging Formerly Current Medical Imaging Reviews 16, no. 7 (September 9, 2020): 921–27. http://dx.doi.org/10.2174/1573405616666200510003144.

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Objectives: The brain functional network of autism spectrum disorders (ASDs) in the earlier stages of life has been almost unknown due to difficulties in obtaining a resting-state functional magnetic resonance imaging (rs-fMRI). This study aimed to perform rs-MRI under a sedated sleep state and reveal possible alterations in the brain functional network. Methods: Rs-fMRI was performed in a group of preschool children (aged 2–6 years, 53 with ASD, 63 as controls) under a sedated sleeping state. Based on graph theoretical analysis, global and local topological metrics were calculated to investigate alterations in brain functional networks. Besides, correlation analyses were conducted between the abnormal attribute values and the Childhood Autism Rating Scale (CARS) scores. Results: The graph theoretical analysis showed that the nodal degree of the right medial frontal gyrus and the nodal efficiency of the right lingual gyrus in the ASD group were higher than those in the control group (P<0.05). There was a statistically significant positive correlation (R=0.318, P<0.05) between the right midfrontal gyrus nodal degree values and CARS scores in the ASD patients. Conclusion: Alterations of some nodal attributes in the brain network occurred in preschool autistic children which could serve as potential imaging biomarkers for evaluating ASD in earlier stages.
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ENGEL-YEGER, BATYA, XENIA GONDA, MUFFY WALKER, ZOLTAN RIHMER, MAURIZIO POMPILI, MARIO AMORE, and GIANLUCA SERAFINI. "Sensory Hypersensitivity Predicts Reduced Sleeping Quality in Patients With Major Affective Disorders." Journal of Psychiatric Practice 23, no. 1 (January 2017): 11–24. http://dx.doi.org/10.1097/pra.0000000000000210.

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47

Weller, Leonard, and Ohela Avinir. "Hassles, Uplifts, and Quality of Sleep." Perceptual and Motor Skills 76, no. 2 (April 1993): 571–76. http://dx.doi.org/10.2466/pms.1993.76.2.571.

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This study examined whether events which occur during the previous day affect sleeping behavior. Specifically, whether minor irritants (hassles), positive experiences (uplifts), or both hassles and uplifts of the previous day affect night sleep for people without sleeping disorders. 41 subjects completed the Hassles and Uplifts scale as well as four questions (which were combined into a total score) assessing quality of sleep. Quality of sleep was correlated with scores on Hassles and Uplifts (.36), Hassles (.34), and Uplifts (.30). When the sample was divided into good and bad sleepers, correlations with Hassles, and Hassles and Uplifts were significant, but not Uplifts.
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48

Winkelman, John W. "The Diagnosis and Work-Up of Insomnia." CNS Spectrums 14, S13 (December 2009): 4–6. http://dx.doi.org/10.1017/s1092852900003941.

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Most adults have difficulty sleeping at some time in their lives, with problems falling asleep, staying asleep, or having nonrestorative sleep. When these symptoms continue for ≥1 month and are associated with daytime dysfunction or distress, they reach the status of an insomnia disorder. Roughly 10% of adults in the United States have an insomnia disorder (hereafter referred to as insomnia), ie, that which is present on most nights and lasts ≥4 weeks. Insomnia can be primary, in which the sleep disturbance exists in the absence of co-existing medical or psychiatric disorders, or comorbid, when it is accompanied by one of these disorders.Although a diagnosis of insomnia requires difficulty with sleep, insomnia is a 24-hour disorder. Individuals with insomnia describe difficulties with concentration, fatigue, and mood, which both influence, and are influenced by, the sleep disturbance. In addition, insomnia is associated with a substantially elevated risk of incident major depressive disorder (MDD), panic disorder, and substance abuse disorders. There is also emerging evidence that insomnia increases the risk for incident hypertension and diabetes.
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Jabeen, Suraiya, Mohammad Anwarul Bari, Amit Wazib, Umma Salma, AKM Shaheduzzaman, Partho Protim Das, and Md Sazzad Hossain. "Morbidity pattern and health-seeking behaviour among the senior citizens in selected rural areas of Bangladesh." Journal of Dhaka Medical College 22, no. 2 (January 9, 2015): 129–35. http://dx.doi.org/10.3329/jdmc.v22i2.21522.

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Background: The purpose of this study was to determine the morbidity pattern and health seeking behaviour among the rural elderly population. Methods: This cross sectional study was conducted in six villages of Telihati union of Gazipur District from February to June 2013. Purposive sampling technique was used to collected data from 249 respondents, aged 60 years and above. Results: The mean age of the respondents was 64.2 (SD±5.6) years. About 70.3% of the respondents were male, majority (47%) respondents were illiterate, 33.3% earned less then ten thousand taka per month. About half (58.2%) of the elderly were still working, among the currently not working respondents majority (49%) were totally dependent. and only 52.6% respondents belonged to joint family. Almost all (98.8%) the respondents had some health problems; among these eye problems (81.7%), musculo-skeletal disorders (66.3%), gastrointestinal disorders (52.4%) and sleeping problems (50.4%) were predominant. Females suffered more from eye problems, musculoskeletal disorder, gastrointestinal disorder and sleeping problems. On the other hand, males suffered more from respiratory and genitorurinary problems. About 61% have a Government hospital or Community clinic nearby their residence, 70 % were satisfied with available health care facilities and 72% was satisfied with treating doctors even then a greater part (35%) was irregular for check-up. Majority (73.5%) was regular about taking treatment, among the irregulars majority (77.3%) was for un-affordability of medicine. Only 53% of the elderly knew names of some old age diseases. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21522 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 129-135
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Apriyeni, Emira, and Helena Patricia. "The improvement of elderly sleeping quality with progressive muscle relaxation therapy." International Journal Of Community Medicine And Public Health 7, no. 5 (April 24, 2020): 1684. http://dx.doi.org/10.18203/2394-6040.ijcmph20201967.

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Background: Sleep is one part of physiological needs and it is a basic need which is needed by all humans to be able to function optimally. However, the elderly will often experience sleep disorders. Sleep disorders in the elderly will affect the quality of sleep. One of nursing intervention that can improve the elderly sleeping quality is progressive muscle relaxation therapy. This study aims to determine the differences of sleep quality before and after having progressive muscle relaxation therapy toward the elderly with sleep disorders.Methods: This research was conducted at the Tresna Werdha Sabai Nan Aluih Social Home, Sicincin in 2019. The research was conducted for 2 weeks with one-week intervention. This research is a Quasy experiment using one group pre-test and post-test without control group design approach. This study used the sample of 16 respondents taken by purposive sampling. The analysis of data uses dependent T-test with a significance level of 95% (α 0.05).Results: The results of the study found that the average sleep quality of the elderly before being given the intervention was 13.63 and after the intervention it became 8.44 with p value of 0.000.Conclusions: The results showed that there were significant differences before and after the intervention. For this reason, it is recommended for the elderly with sleep disorders to be able to do progressive muscle relaxation therapy to improve sleep quality.
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